Provider Demographics
NPI:1801941232
Name:SALINE COUNTY COMMISSION ON AGING
Entity type:Organization
Organization Name:SALINE COUNTY COMMISSION ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:O
Authorized Official - Last Name:MULHERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-827-9818
Mailing Address - Street 1:245 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2111
Mailing Address - Country:US
Mailing Address - Phone:785-827-9818
Mailing Address - Fax:785-827-1516
Practice Address - Street 1:245 N 9TH ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2111
Practice Address - Country:US
Practice Address - Phone:785-827-9818
Practice Address - Fax:785-827-1516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100407570AMedicaid