Provider Demographics
NPI:1609822618
Name:HOSPICE OF SALINA, INCORPORATED
Entity Type:Organization
Organization Name:HOSPICE OF SALINA, INCORPORATED
Other - Org Name:
Other - Org Type:
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 1:730 HOLLY LANE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-8452
Mailing Address - Country:US
Mailing Address - Phone:785-825-1717
Mailing Address - Fax:785-825-4949
Practice Address - Street 1:730 HOLLY LANE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-8452
Practice Address - Country:US
Practice Address - Phone:785-825-1717
Practice Address - Fax:785-825-4949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100226550AMedicaid
KS100226550AMedicaid