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Contact Information

DEACONESS ANESTHESIA SERVICES LLC
5501 N PORTLAND AVE
OKLAHOMA CITY, OK73112-2074
 Phone: 660-826-5960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for DEACONESS ANESTHESIA SERVICES LLC

NPI # 1912432048
LBN Legal business name DEACONESS ANESTHESIA SERVICES LLC
Authorized official ROBERT CLEMENS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2017
Last updated 02/21/2020 - About 6 years ago
Identifiers
OK Medicaid 200705720A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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