| NPI | 1710172879 |
|---|---|
| Doing Business As | PONCA HILLS HEALTH & WELLNESS CENTER |
| Doing Business As | PONCA CLINICAL SERVICES |
| Doing Business As | PONCA PHARMACY SERVICES |
| Doing Business As | PONCA POPULATION HEALTH SERVICES |
| Doing Business As | PONCA HEALTH SERVICES |
| Doing Business As | PONCA BEHAVIORAL HEALTH SERVICES |
| Doing Business As | PONCA DENTAL SERVICES |
| Doing Business As | FRED LEROY HEALTH & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M RIEB Compliance Officer 402-315-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 261QD0000X Clinic/Center, Dental | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2018-10-22 |