Organization Active NPI

Deaconess Health System LLC

  • Psychiatric Hospital Unit
  • Oklahoma City, OK
National Provider Identifier
1659322667
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
2294 Issued in OK
Legal business name
DEACONESS HEALTH SYSTEM LLC
Doing business as
AllianceHealth Deaconess
Practice address
5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone
(405) 604-6000
Fax
(405) 604-4437
NPI assigned
May 15, 2006
Organization subpart
Yes
Parent organization
DEACONESS HEALTH SYSTEM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(615) 925-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 2294 OK Primary

Addresses

Primary practice location

5501 N Portland Ave
Oklahoma City, OK 73112-2074

Mailing address

5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000

Other practice location 1

7600 NW 23rd St
Bethany, OK 73008-4944
Phone (405) 604-6000

Other identifiers 1

IdentifierTypeStateIssuer
100699370AMedicaidOK

Other names 1

  • AllianceHealth Deaconess Doing business as

National Provider Directory

National Provider Directory
Part of
Deaconess Health System LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659322667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122074",
            "telephone_number": "405-604-6000",
            "fax_number": "405-604-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122074",
            "telephone_number": "405-604-6000",
            "fax_number": "405-604-4437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 NW 23rd St",
            "address_purpose": "LOCATION",
            "city": "Bethany",
            "state": "OK",
            "postal_code": "730084944",
            "country_code": "US",
            "telephone_number": "405-604-6000",
            "fax_number": "405-604-6153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEACONESS HEALTH SYSTEM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEACONESS HEALTH SYSTEM LLC",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OK",
            "license": "2294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllianceHealth Deaconess",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.