NPIMap

Organization Active NPI

Salina Regional Health Center, Inc.

Doing business as Rehab Medicine

  • Physical Medicine & Rehabilitation Physician
  • Salina, KS
National Provider Identifier
1194068502
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0430495 Issued in KS
Legal business name
SALINA REGIONAL HEALTH CENTER, INC.
Doing business as
Rehab Medicine
Practice address
400 S Santa Fe Ave
Department of Rehab Medicine
Salina, KS 67401-4144
Phone
(785) 452-7731
Fax
(785) 452-7811
NPI assigned
Apr 3, 2013
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SALINA REGIONAL HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Amy Wikoff
Title
Executive Director
Phone
(785) 452-6152

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Registered Dietitian 133V00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Physical Medicine & Rehabilitation Physician 208100000X
Physical Medicine & Rehabilitation Physician 208100000X 0430495 KS Primary
General Practice Physician 208D00000X
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

400 S Santa Fe Ave
Department of Rehab Medicine
Salina, KS 67401-4144

Mailing address

400 S Santa Fe Ave
SRHC Revenue Cycle MGMT
Salina, KS 67401-4144
Phone (785) 452-7269

Other practice location 1

155 N Oakdale Ave Ste 300
Salina, KS 67401-3001
Phone (785) 452-6050

Other identifiers 2

IdentifierTypeStateIssuer
100059160EMedicaidKS
100068090JMedicaidKS

Other names 1

  • Rehab Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000800 KS Part B Supplier - Clinic/Group Practice 0446168215 Receives reassigned benefits from 228 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Part of
Salina Regional Reference

Locations

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1194068502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "address_2": "SRHC REVENUE CYCLE MGMT",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7269",
            "fax_number": "785-452-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "address_2": "DEPARTMENT OF REHAB MEDICINE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7731",
            "fax_number": "785-452-7811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Oakdale Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674013001",
            "country_code": "US",
            "telephone_number": "785-452-6050",
            "fax_number": "785-452-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALINA REGIONAL HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALINA REGIONAL HEALTH CENTER, INC",
        "enumeration_date": "2013-04-03",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "WIKOFF",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-452-6152"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "0430495",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100059160E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100068090J",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehab Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.