Healthcare Provider Details

I. General information

NPI: 1396836029
Provider Name (Legal Business Name): SALINA HEALTH EDUCATION FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 11/16/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 PRESCOTT RD
SALINA KS
67401-7408
US

IV. Provider business mailing address

651 PRESCOTT RD
SALINA KS
67401-7408
US

V. Phone/Fax

Practice location:
  • Phone: 785-825-7251
  • Fax: 785-825-6887
Mailing address:
  • Phone: 785-825-7251
  • Fax: 785-825-6887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateKS

VIII. Authorized Official

Name: ROBERT R KRAFT
Title or Position: CEO/CMO
Credential: M.D.
Phone: 785-825-7251