ST LUKES HEALTH RESOURCES – NPI #1619932373
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

ST LUKES HEALTH RESOURCES is an AHC clinic located in PONCA, NE. NPPES has assigned the NPI number 1619932373 to ST LUKES HEALTH RESOURCES on April 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 18 years ago on May 06, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST LUKES HEALTH RESOURCES below.

NPI Profile for
ST LUKES HEALTH RESOURCES

NPI Number
1619932373
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST LUKES HEALTH RESOURCES
Primary location
111 SECOND STREET
PONCA, NE 68770
Phone: (402) 755-2231 Fax: (402) 755-4100
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK JOHNSON
VICE PRESIDENT/CFO
Phone: (712) 279-3934
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.