NPIMap

Organization Active NPI

Salina Regional Health Center, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Salina, KS
National Provider Identifier
1447790407
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
H-085-001 Issued in KS
Legal business name
SALINA REGIONAL HEALTH CENTER, INC.
Practice address
501 S Santa Fe Ave Ste 200
Salina, KS 67401
Phone
(785) 452-7269
Fax
(785) 452-6008
NPI assigned
Feb 24, 2017
Last updated
Feb 2, 2022By 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 Feb 2, 2022

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Registered Dietitian 133V00000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X H-085-001 KS Primary
Gastroenterology Physician 207RG0100X H-085-001 KS

Addresses

Primary practice location

501 S Santa Fe Ave Ste 200
Salina, KS 67401

Mailing address

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

Other practice location 1

2090 S Ohio St
Salina, KS 67401-6702
Phone (785) 309-2323

Other practice location 2

501 S Santa Fe Ave Ste 220
Salina, KS 67401-4106
Phone (785) 452-6911

Other names 1

  • SRHC Physician Practice Mgmt Other name

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 Health Inc

Locations

1111 N Brady St
Abilene, KS 67410
Phone (785) 263-4131

222 S Kansas St
Russell, KS 67665
Phone (785) 483-3333

2090 S Ohio St
Fl 3
Salina, KS 67401

501 S Santa Fe Ave
Ste 220
Salina, KS 67401
Phone (785) 452-6440

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": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1447790407",
    "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": "501 S SANTA FE AVE STE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-7269",
            "fax_number": "785-452-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2090 S Ohio St",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674016702",
            "country_code": "US",
            "telephone_number": "785-309-2323",
            "fax_number": "785-309-2331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Santa Fe Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674014106",
            "country_code": "US",
            "telephone_number": "785-452-6911",
            "fax_number": "785-452-6915",
            "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": "2017-02-24",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "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": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KS",
            "license": "H-085-001",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "H-085-001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRHC Physician Practice Mgmt",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SRHC Physician Practice Mgmt",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 2, 2022; 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.