AHS HENRYETTA HOSPITAL LLC is a rural health clinic center in Henryetta, OK. AHS HENRYETTA HOSPITAL LLC NPI is 1871008722. The provider is registered as an organization entity type.
The provider Is Doing Business As Utica Park Clinic Family Care.
The provider's business location address is:
2403 W MAIN ST
HENRYETTA, OK
ZIP 74437
Phone: (918) 652-6950
Fax: (918) 652-7827
The provider's authorized official is Stephen C. Petrovich .
The authorized official title is Evp and has the following contact phone number (615) 296-3000.
The CLIA number assigned to this NPI record is 37D0892289 - rural health clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/13/2017 and was last updated on 6/4/2019.