Organization Active NPI

Oro Valley Hospital LLC

Doing business as Oro Valley Hospital

  • Psychiatric Hospital Unit
  • Oro Valley, AZ
National Provider Identifier
1043659816
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H3683 Issued in AZ
Legal business name
ORO VALLEY HOSPITAL LLC
Doing business as
Oro Valley Hospital
Practice address
1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone
(520) 901-3527
Fax
(520) 901-3525
NPI assigned
Jun 14, 2013
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ORO VALLEY HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H3683 AZ Primary

Addresses

Primary practice location

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213

Mailing address

PO Box 849870
Dallas, TX 75284-9870
Phone (520) 901-3500

Other names 1

  • Oro Valley Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130926000062 AZ Part A Provider - Hospital 0941268742 Practice locations: Oro Valley, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043659816. Details of each certification follow.

Hospital certification: CCN 03S114

Legal name
ORO VALLEY HOSPITAL LLC
Doing business as
ORO VALLEY HOSPITAL PSYCH UNIT
Organization structure
LLCProprietary
Incorporated
Sep 2, 2003 in FL
Enrollment address
1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Oro Valley Hospital LLC7 organizations share this tax ID, including this one
Part of
Oro Valley Hospital LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

849870 Box
Dallas, TX 75284

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Jan 27, 2012
Corporate DirectorPresident/Board Member Jan 1, 2020
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2018
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
William Bradley Cash Individual Corporate OfficerExec Vice President Jun 11, 2018
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Direct Ownership Interest Jul 25, 2007
Cody Barnhart Individual W-2 Managing EmployeeChief Administrative Officer May 20, 2024
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Desert Hospital Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Triad Holdings V LLC Organization, Franklin, TN Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Paula M Lalor Individual Corporate OfficerDirector PFS/Delegated Official Apr 8, 2017
Triad Healthcare LLC Organization, Franklin, TN Corporation, LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Tennyson Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Nov Holdings, LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Jul 25, 2007 100%
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 26, 2013
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%

Facilities with the same owner 120

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 120

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1043659816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849870",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752849870",
            "telephone_number": "520-901-3500",
            "fax_number": "520-901-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E TANGERINE RD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556213",
            "telephone_number": "520-901-3527",
            "fax_number": "520-901-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORO VALLEY HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORO VALLEY HOSPITAL LLC",
        "enumeration_date": "2013-06-14",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AZ",
            "license": "H3683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oro Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.