MEDICARE: ORTHOPAEDIC CLINIC OF SALINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831134915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC CLINIC OF SALINA

Provider Business Mailing Address
First Line	:	523 S SANTA FE AVE
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-4145
Country	:	US
Telephone Number	:	785-823-2215
Fax Number	:	785-823-7459

Provider Business Practice Location Address
First Line	:	523 S SANTA FE AVE
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-4145
Country	:	US
Telephone Number	:	785-823-2215
Fax Number	:	785-823-7459

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	KALLIE BURGARDT
Credential	:
Telephone Number	:	785-823-2215

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	03/17/2018

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