Organization
DEACONESS HEALTH SYSTEM LLC
Active
Parent organization
DEACONESS HEALTH SYSTEM LLC
Other names
Deaconess Hospital Progressive Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEACONESS HEALTH SYSTEM LLC
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-6000
(405) 604-4437
Mailing address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-6000
(405) 604-4437
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2294
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699370A
—
OK
Enumeration date
06/03/2006
Last updated
09/13/2017
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