Organization
ST LUKES HEALTH RESOURCES
Active
Organization
ST LUKES HEALTH RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A JOHNSON (VICE PRESIDENT/CFO)
(712) 279-3934
Entity
Organization
Contact information
Practice address
111 SECOND STREET, PONCA, NE 68770
(402) 755-2231
(402) 755-4100
Mailing address
111 SECOND STREET, PONCA, NE 68770
(402) 755-2231
(402) 755-4100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
05/06/2008
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