=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356203715
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SALINA REGIONAL HEALTH CENTER INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/24/2025
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 S SANTA FE AVE STE 360
-----------------------------------------------------
City | SALINA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67401-4189
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-518-2100
-----------------------------------------------------
Fax | 785-518-2150
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 501 S SANTA FE AVE STE 360
-----------------------------------------------------
City | SALINA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67401-4189
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-518-2100
-----------------------------------------------------
Fax | 785-518-2150
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | AMY WIKOFF
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 785-452-6152
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208VP0000X
-----------------------------------------------------
Taxonomy Name | Pain Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------