Healthcare Provider Details

I. General information

NPI: 1306432083
Provider Name (Legal Business Name): SALINA REGIONAL HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2020
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S SANTA FE AVE STE 200
SALINA KS
67401-4190
US

IV. Provider business mailing address

520 S SANTA FE AVE STE 200
SALINA KS
67401-4190
US

V. Phone/Fax

Practice location:
  • Phone: 785-823-7225
  • Fax: 785-827-4433
Mailing address:
  • Phone: 785-823-7225
  • Fax: 785-827-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

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