Healthcare Provider Details

I. General information

NPI: 1699915934
Provider Name (Legal Business Name): SALINA REGIONAL HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2009
Last Update Date: 07/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S SANTA FE SUITE 100
SALINA KS
67401
US

IV. Provider business mailing address

400 S. SANTA FE SRHC REVENUE CYCLE MGMT
SALINA KS
67401
US

V. Phone/Fax

Practice location:
  • Phone: 785-825-2273
  • Fax: 785-825-2275
Mailing address:
  • Phone: 785-452-7269
  • Fax: 785-452-6008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code2080S0010X
TaxonomyPediatric Sports Medicine Physician
License Number
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number StateKS
# 6
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number StateKS
# 7
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

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