Provider Demographics
NPI:1336513274
Name:SALINA REGIONAL HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:SALINA REGIONAL HEALTH CENTER, INC.
Other - Org Name:SALINA REGIONAL URGENT CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WIKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-452-6152
Mailing Address - Street 1:400 S SANTA FE AVE
Mailing Address - Street 2:SRHC REVENUE CYCLE MGMT
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-4144
Mailing Address - Country:US
Mailing Address - Phone:785-452-7269
Mailing Address - Fax:785-452-6008
Practice Address - Street 1:2265 S 9TH ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-7308
Practice Address - Country:US
Practice Address - Phone:785-452-6000
Practice Address - Fax:785-452-6591
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALINA REGIONAL HEALTH CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-16
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH-085-001261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100059160GMedicaid
KS110116Medicare PIN