Healthcare Provider Details

I. General information

NPI: 1760077077
Provider Name (Legal Business Name): SALINA REGIONAL HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2021
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S SANTA FE AVE
SALINA KS
67401-4189
US

IV. Provider business mailing address

501 S SANTA FE AVE
SALINA KS
67401-4189
US

V. Phone/Fax

Practice location:
  • Phone: 785-452-7562
  • Fax: 785-452-7105
Mailing address:
  • Phone: 785-452-7562
  • Fax: 785-452-7105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMY WIKOFF
Title or Position: EXECUTIVE DIRECTOR REV CYCLE MGMT
Credential:
Phone: 785-452-6152