Provider Demographics
NPI:1447790407
Name:SALINA REGIONAL HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:SALINA REGIONAL HEALTH CENTER, INC.
Other - Org Name:SRHC PHYSICIAN PRACTICE MGMT
Other - Org Type:Other Name
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 1:501 S SANTA FE AVE STE 200
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401
Practice Address - Country:US
Practice Address - Phone:785-452-7269
Practice Address - Fax:785-452-6008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALINA REGIONAL HEALTH CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-24
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X, 363A00000X, 363L00000X
KSH-085-001207RE0101X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty