NPIMap

Organization Active NPI

Salina Health Education Foundation

  • Federally Qualified Health Center (FQHC)
  • Salina, KS
National Provider Identifier
1063168532
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SALINA HEALTH EDUCATION FOUNDATION
Practice address
2676 Planet Ave
Salina, KS 67401-7604
Phone
(785) 825-7251
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Kay Demel
Title
Cfo
Phone
(785) 825-7251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2676 Planet Ave
Salina, KS 67401-7604

Mailing address

651 E Prescott Rd
Salina, KS 67401-7408
Phone (785) 825-7251

Other names 1

  • Salina Family Eye Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220316003362 KS Part A Provider - Federally Qualified Health Center (FQHC) 0749199883 Practice locations: Salina, KS

Federally qualified health center certification: CCN 171909

Legal name
SALINA HEALTH EDUCATION FOUNDATION
Doing business as
SALINA FAMILY EYE CARE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 7, 2022
Last certification
Mar 7, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1977 in KS
Enrollment address
2676 Planet Ave
Salina, KS 67401-7604

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Salina Health Foundation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert R Kraft Individual Corporate DirectorCeo Mar 1, 2022 25%
Salina Health Education Foundation Organization, Salina, KS Corporation Operational/Managerial Control Mar 1, 2022 100%
Rafael Mendez Individual Corporate DirectorBoard Member Mar 1, 2022 10%
Andy Adams Individual Corporate DirectorBoard Member Mar 1, 2022 10%
Kristi Hays Individual Corporate Director Jul 1, 2023 5%
Ann Feil Individual W-2 Managing EmployeeCoo Mar 1, 2022 25%
Deborah K Demel Individual Corporate DirectorCFP Mar 1, 2022 25%
Liticia J Salter Individual Corporate DirectorBoard Member Jul 1, 2022 10%
Ramona V Malone Individual Corporate DirectorBoard Member Mar 1, 2022 10%
Barrett Halderman Individual Corporate DirectorBoard Member Oct 25, 2022 5%
Dirk Hutchinson Individual Corporate DirectorBoard Member Jul 14, 2023 5%
Nancy K Lonergan Individual Corporate DirectorBoard Member Jul 1, 2023 5%
Jordan Webb Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Robert H Vidricksen Individual Corporate DirectorBoard Member Jul 1, 2022 10%

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Salina Family Healthcare Dental ClinicSalina, KS, CCN 171882 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1063168532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E PRESCOTT RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017408",
            "telephone_number": "785-825-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 PLANET AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017604",
            "telephone_number": "785-825-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINA HEALTH EDUCATION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "DEMEL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-825-7251"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salina Family Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.