Provider Demographics
NPI:1992027890
Name:SALINA SPINE AND REHAB LLC
Entity Type:Organization
Organization Name:SALINA SPINE AND REHAB LLC
Other - Org Name:HAYS PT & SPINE REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:EISENHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-404-2848
Mailing Address - Street 1:130 MOUNT BARBARA DR
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3444
Mailing Address - Country:US
Mailing Address - Phone:784-404-2848
Mailing Address - Fax:785-404-2949
Practice Address - Street 1:1220 E 27TH ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2106
Practice Address - Country:US
Practice Address - Phone:785-301-2600
Practice Address - Fax:785-301-2603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies