OrganizationActive
St Lukes Health Resources
NPI 1619932373 · Clinic/Center · Ponca, NE
Provider details
- NPI number
- 1619932373
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Johnson, Vice President/Cfo(712) 279-3934
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Second Street
Ponca, NE 68770
Phone: (402) 755-2231
Fax: (402) 755-4100
Street-level locationGet directions
Mailing address
111 Second Street
Ponca, NE 68770
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2008-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.