| St Lukes Health Resources | |
|
111 Second Street Ponca NE 68770 | |
| (402) 755-2231 | |
| (402) 755-4100 |
| Full Name | St Lukes Health Resources |
|---|---|
| Speciality | Clinic/center |
| Location | 111 Second Street, Ponca, Nebraska |
| Authorized Official Name and Position | Mark A Johnson (VICE PRESIDENT/CFO) |
| Authorized Official Contact | 7122793934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lukes Health Resources 111 Second Street Ponca NE 68770 Ph: (402) 755-2231 | St Lukes Health Resources 111 Second Street Ponca NE 68770 Ph: (402) 755-2231 |
| NPI Number | 1619932373 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619932373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Ponca Mercy Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E 2nd St, Ponca, NE 68770 Phone: 402-755-2231 Fax: 402-755-4100 | |
Sanford Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 E 2nd St, Ponca, NE 68770 Phone: 402-755-2231 Fax: 402-755-4100 |