Healthcare Provider Details

I. General information

NPI: 1205446648
Provider Name (Legal Business Name): SALINA REGIONAL HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2020
Last Update Date: 08/10/2020
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 S SANTA FE AVE
SALINA KS
67401-4145
US

IV. Provider business mailing address

511 S SANTA FE AVE STE A
SALINA KS
67401-4145
US

V. Phone/Fax

Practice location:
  • Phone: 785-452-4860
  • Fax: 785-452-4878
Mailing address:
  • Phone: 785-452-4820
  • Fax: 785-452-4821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOE TALLON
Title or Position: VP/CFO
Credential:
Phone: 785-452-6780