Provider Demographics
NPI:1689611436
Name:SALINA UROLOGY ASSOCIATES PA
Entity Type:Organization
Organization Name:SALINA UROLOGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-827-9635
Mailing Address - Street 1:218 S SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3932
Mailing Address - Country:US
Mailing Address - Phone:785-827-9635
Mailing Address - Fax:785-827-6697
Practice Address - Street 1:218 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3932
Practice Address - Country:US
Practice Address - Phone:785-827-9635
Practice Address - Fax:785-827-6697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty