NPI age
8 years
Enumerated 2018-01-30
● Active Type 2 · Organization
Subpart
Specialty Hospital, Llc
Specialty Hospital, Llc is 1 of 83 special hospital organizations in Texas.
Primary specialty
Special Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petrovich
Evp
Last NPPES update
2023-10-01
Source: monthly bulk 2026-05
How this organization compares
Across 83 active special hospital providers in Texas.
NPI age
8 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-01Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1000 S Beckham Ave Fl 5
Tyler, TX 757011908
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 370275697
Authorized official
Stephen C Petrovich
Evp
📞 6152963000
Specialties
-
Special Hospital PrimaryA designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
Practice context
Single-site organization. Only one practice location on file.
Subpart of Ahs East Texas Health System, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.