Provider Demographics
NPI:1164420329
Name:SALINA SURGICAL CENTER, LLC
Entity Type:Organization
Organization Name:SALINA SURGICAL CENTER, LLC
Other - Org Name:SALINA SURGICAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUANN
Authorized Official - Middle Name:
Authorized Official - Last Name:PUVOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:785-827-0610
Mailing Address - Street 1:401 S SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-4143
Mailing Address - Country:US
Mailing Address - Phone:785-827-0610
Mailing Address - Fax:785-827-8608
Practice Address - Street 1:401 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-4143
Practice Address - Country:US
Practice Address - Phone:785-827-0610
Practice Address - Fax:785-827-8608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS284300000X284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100358410AMedicaid
KS001476OtherBLUE CROSS/BLUE SHIELD
KS170187Medicare Oscar/Certification