DEACONESS HEALTH SYSTEM LLC (NPI# 1659322667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659322667 |
| Entity Type | Organization |
| Organization Name | DEACONESS HEALTH SYSTEM LLC |
| Other Organization Name | ALLIANCEHEALTH DEACONESS |
| Practice Address |
5501 N Portland Ave Oklahoma City OK 73112-2074 |
| Practice Telephone | (405) 604-6000 |
| Practice Fax Number | 4056044437 |
| Mailing Telephone | (405) 604-6000 |
| Mailing Fax Number | 4056044437 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEACONESS HEALTH SYSTEM LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 2294 | OK | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100699370A | 05 |
| Other Name | Type Code |
|---|---|
| AllianceHealth Deaconess | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7600 Nw 23rd St, Bethany, OK 730084944 | 4056046000 | 4056046153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619915493 | Deaconess Health System LLC | Home Health | 7600 Nw 23rd St, Bethany, OK 73008-4944 | 2006-06-03 |
| 1700824588 | Deaconess Health System LLC | Skilled Nursing Facility | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2006-06-03 |
| 1356393110 | Deaconess Health System LLC | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2006-05-17 |
| 1740231752 | Deaconess Health System LLC | General Acute Care Hospital | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2006-05-15 |
| Street Address |
5501 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364422 | Michael A Thayer | Physician Assistant | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2005-05-24 |
| 1255966685 | Traci Mcclay | Nurse Practitioner | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-03-05 |
| 1154954873 | Nathan C Defee | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-02-20 |
| 1114566270 | Marianna Gail Eubanks | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-01-06 |
| 1104475151 | William R Low | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-09-11 |
| 1477117638 | Meryl Elaine Williamson | Emergency Medicine | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-04-23 |
| 1831663657 | Integris Baptist Medical Center, Inc | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-01-15 |
| 1720563711 | Austin Graham Trent | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2018-09-26 |
| 1912432048 | Deaconess Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2017-04-26 |
| 1053844365 | Ellen Mclain | Registered Nurse | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2017-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538587464 | Integris South Oklahoma City Hospital Corporation | Psychiatric Unit | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2014-03-28 |
| 1598837221 | Integris Baptist Medical Center Inc | Psychiatric Unit | 5100 N Brookline Ave, Suite 950, Oklahoma City, OK 73112-3623 | 2006-11-15 |
| 1114025012 | Ssm Health Care of Oklahoma, Inc. | Psychiatric Unit | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225583032 | Rick L Owens Jr. | Psychiatric Unit | 115 F St Sw, Ardmore, OK 73401-4705 | 2016-08-22 |
| 1669878880 | Michael Pickens | Psychiatric Unit | 1003 Stone Creek Dr, Ardmore, OK 73401-1462 | 2014-11-16 |
| 1003135260 | Northwest Center for Behavioral Health | Psychiatric Unit | Rr 3 Box 57, Laverne, OK 73848 | 2010-05-26 |
| 1124346754 | Integris Baptist Medical Center Inc | Psychiatric Unit | 2601 N Spencer Rd, Spencer, OK 73084-3649 | 2010-05-06 |
| 1649305723 | Green Country Behavioral Health Services, Inc. | Psychiatric Unit | 2719 E Shawnee Rd, Muskogee, OK 74403-1533 | 2007-02-22 |
| 1457493355 | Green Country Behavioral Health Services, Inc. | Psychiatric Unit | 6365 W Okmulgee St, Muskogee, OK 74401-4595 | 2007-02-14 |
| 1497824742 | Ahs Henryetta Hospital LLC | Psychiatric Unit | Dewey, Bartlett & Main, Henryetta, OK 74437 | 2006-11-08 |
| 1689622615 | Southwestern Medical Center, LLC | Psychiatric Unit | 1602 Sw 82nd St, Lawton, OK 73505-9012 | 2006-05-04 |
| 1417947466 | Uhs of Oklahoma, LLC | Psychiatric Unit | 305 S 5th St, Enid, OK 73701-5832 | 2005-10-21 |
| 1518510296 | Uhs of Oklahoma, LLC | Psychiatric Unit | 305 S 5th St, Enid, OK 73701-5832 | 2019-07-22 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on DEACONESS HEALTH SYSTEM LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.