NPIMap

Organization Active NPI

Salina Health Education Foundation

Doing business as Salina Family HealthCare Center

  • Federally Qualified Health Center (FQHC)
  • Salina, KS
National Provider Identifier
1396836029
Registry record updated Nov 16, 2020
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
Doing business as
Salina Family HealthCare Center
Practice address
651 Prescott Rd
Salina, KS 67401-7408
Phone
(785) 825-7251
Fax
(785) 825-6887
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Robert R Kraft, M.D.
Title
Ceo/Cmo
Phone
(785) 825-7251

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X KS Primary

Addresses

Primary practice location

651 Prescott Rd
Salina, KS 67401-7408

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
100087740DMedicaidKS
309OtherKSBC/BS OF KS

Other names 1

  • Salina Family HealthCare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000519 KS Part A Provider - Federally Qualified Health Center (FQHC) 0749199883 Practice locations: Salina, KS

Federally qualified health center certification: CCN 171822

Legal name
SALINA HEALTH EDUCATION FOUNDATION
Doing business as
SALINA FAMILY HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 10, 2004
Last certification
Dec 10, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
651 E Prescott Rd
Salina, KS 67401-7408

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.

Locations

651 E Prescott Rd
#340B126700
Salina, KS 67401

Ownership & related parties

All disclosed owners & managing parties 23

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 Aug 1, 2022 10%
Judy J Arpin Individual Corporate OfficerBoard Member Jul 1, 2025 5%
Juan Maldonado Castellanos Individual Corporate DirectorBoard Member Aug 23, 2024 5%
Taylor K Schwartz Individual Corporate OfficerBoard Member Jul 1, 2025 5%
Rafael Mendez Individual Corporate DirectorBoard Member Jan 12, 2023 5%
Jordan Webb Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Andy Adams Individual Corporate OfficerBoard Member Jan 12, 2023 5%
Jamie M Boatright Individual W-2 Managing EmployeeCorporate Compliance Jul 1, 2025 5%
Kristi Hays Individual Corporate DirectorBoard Member Jul 1, 2023
Ann Feil Individual W-2 Managing EmployeeInterm Ceo Jul 6, 2019 100%
Operational/Managerial ControlCoo Jun 14, 2010 5%
Kimberly K Williams Individual W-2 Managing EmployeeProgram Director Smoky Hill Family Jul 1, 2025 5%
Bradley L Burr Individual Corporate Director Aug 23, 2024 5%
Deborah K Demel Individual Corporate Director Jan 12, 2023 5%
Liticia J Salter Individual Corporate DirectorBoard Member Jul 1, 2022 10%
Ramona V Malone Individual Corporate DirectorBoard Member Jan 12, 2023 5%
Derek R Pihl Individual W-2 Managing EmployeeChief Pharmacy Officer Jul 1, 2025 5%
Carolee R Jones Individual Corporate Director Aug 23, 2024 5%
Barrett Halderman Individual Corporate DirectorBoard Member Oct 25, 2022 10%
Dirk Hutchinson Individual Corporate DirectorBoard Member Jul 14, 2023
Nicholas C Sharpe Individual Corporate DirectorBoard Memeber Dec 6, 2023 5%
Nancy K Lonergan Individual Corporate DirectorBoard Member Jul 1, 2023
Amanda N Rhyne Individual W-2 Managing EmployeeChief Medical Officer Jul 1, 2025 5%
Claudette M Humphrey Individual Corporate OfficerBoard Member Jul 1, 2025 5%

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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
Salina Family Eye Care CenterSalina, KS, CCN 171909 Federally qualified health center Operational/Managerial Control (100%) Mar 1, 2022

Owned or controlled facilities with NPI records 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1396836029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 PRESCOTT RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017408",
            "telephone_number": "785-825-7251",
            "fax_number": "785-825-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 PRESCOTT RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017408",
            "telephone_number": "785-825-7251",
            "fax_number": "785-825-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINA HEALTH EDUCATION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "785-825-7251",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100087740D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KS",
            "identifier": "309",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salina Family HealthCare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salina Family HealthCare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.