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Specialty Hospital, LLC

NPI 1962900472ActiveOrganization· Special Hospital· Tyler, TX

Special Hospital in Tyler, Texas, registered in NPPES in January 2018, part of Ahs East Texas Health System, LLC. The authorized official on file is Stephen C. Petrovich, Evp.

Overview

NPI1962900472
StatusActive
Entity typeOrganization (subpart)
Parent organizationAhs East Texas Health System, LLC
NPI issuedJan 30, 2018
Last updated in NPPESOct 1, 2023
Certified by providerOct 1, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Special Hospital Primary284300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years