NPIMap

Organization Active NPI

Woodward Health System LLC

Doing business as AllianceHealth Woodward Clinics

  • Rural Health Clinic/Center
  • Woodward, OK
National Provider Identifier
1730434424
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WOODWARD HEALTH SYSTEM LLC
Doing business as
AllianceHealth Woodward Clinics
Practice address
1818 Kansas Ave
Woodward, OK 73801-2912
Phone
(580) 254-3396
Fax
(580) 254-5311
NPI assigned
Jul 18, 2012
Organization subpart
Yes
Parent organization
WOODWARD HEALTH SYSTEM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 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
Rural Health Clinic/Center 261QR1300X OK Primary

Addresses

Primary practice location

1818 Kansas Ave
Woodward, OK 73801-2912

Mailing address

900 17TH St
Woodward, OK 73801-2448
Phone (580) 256-5511

Other identifiers 1

IdentifierTypeStateIssuer
200019120IMedicaidOK

Other names 1

  • AllianceHealth Woodward Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Woodward Health System LLC

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2023 Change of OwnershipThis provider was the seller Integris Health Medical GroupCCN 373476, OK, NPI 1649042284

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1730434424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 17TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012448",
            "telephone_number": "580-256-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 KANSAS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012912",
            "telephone_number": "580-254-3396",
            "fax_number": "580-254-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD HEALTH SYSTEM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODWARD HEALTH SYSTEM LLC",
        "enumeration_date": "2012-07-18",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019120I",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllianceHealth Woodward Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.