Healthcare Provider Details

I. General information

NPI: 1164420329
Provider Name (Legal Business Name): SALINA SURGICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S SANTA FE AVE
SALINA KS
67401-4143
US

IV. Provider business mailing address

401 S SANTA FE AVE
SALINA KS
67401-4143
US

V. Phone/Fax

Practice location:
  • Phone: 785-827-0610
  • Fax: 785-827-8608
Mailing address:
  • Phone: 785-827-0610
  • Fax: 785-827-8608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number284300000X
License Number StateKS

VIII. Authorized Official

Name: LUANN PUVOGEL
Title or Position: CEO
Credential: RN
Phone: 785-827-0610