# DEACONESS HEALTH SYSTEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEACONESS HEALTH SYSTEM LLC
- **Other names:** Deaconess Hospital Progressive Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700824588
- **Legal business name:** DEACONESS HEALTH SYSTEM LLC
- **Authorized official:** PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (615) 925-4565

## Contact information

- **Practice address:** 5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
- **Practice address phone:** (405) 604-6000
- **Practice address fax:** (405) 604-4437
- **Mailing address:** 5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
- **Mailing address phone:** (405) 604-6000
- **Mailing address fax:** (405) 604-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2294 | OK | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 09/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100699370A | — | OK |