Active NPI
Deaconess Health System LLC
- Skilled Nursing Facility
- Oklahoma City, OK
National Provider Identifier
1700824588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2294
- Legal business name
- DEACONESS HEALTH SYSTEM LLC
- Doing business as
- Deaconess Hospital Progressive Care Center
- Practice address
- 5501 N Portland Ave
Oklahoma City, OK 73112-2074 - Phone
- (405) 604-6000
- Fax
- (405) 604-4437
- NPI assigned
- Jun 3, 2006
- Organization subpart
- Yes
- Parent organization
- DEACONESS HEALTH SYSTEM LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100699370A | Medicaid | OK |
Other names 1
- Deaconess Hospital Progressive Care Center
National Provider Directory
National Provider Directory- Part of
- Deaconess Health System LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505260800000",
"number": "1700824588",
"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": [],
"basic": {
"organization_name": "DEACONESS HEALTH SYSTEM LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DEACONESS HEALTH SYSTEM LLC",
"enumeration_date": "2006-06-03",
"last_updated": "2017-09-13",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OK",
"license": "2294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100699370A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Deaconess Hospital Progressive Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oklahoma City, OK
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- Deaconess Physician Services LLC
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- Deaconess Pregnancy & Adoption
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.