St Lukes Health Resources

NPI #1619932373 in Ponca, Nebraska

Provider Information

NPI Number: 1619932373
Entity Type: Organization
Organization Name: St Lukes Health Resources
Primary Specialty: Clinic/Center
Enumeration Date: Apr 18, 2006
Last Updated: May 6, 2008

Practice Location

Address: 111 SECOND STREET
City: Ponca
State: Nebraska
ZIP Code: 68770
Phone: (402) 755-2231

Authorized Official

Name: MARK A JOHNSON
Title: VICE PRESIDENT/CFO
Phone: (712) 279-3934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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