NPIMap

Organization Active NPI

Salina Regional Health Center, Inc.

  • Family Medicine Physician
  • Salina, KS
National Provider Identifier
1508109299
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SALINA REGIONAL HEALTH CENTER, INC.
Practice address
2090 S Ohio St
Salina, KS 67401-6702
Phone
(785) 825-8221
Fax
(785) 452-7530
NPI assigned
Apr 1, 2013
Organization subpart
Yes
Parent organization
SALINA REGIONAL HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X KS Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

2090 S Ohio St
Salina, KS 67401-6702

Mailing address

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

Other practice location 1

830 Elm St
Minneapolis, KS 67467-1608
Phone (785) 392-2144

Other practice location 2

520 S Santa Fe Ave Ste 300
Salina, KS 67401-4190
Phone (785) 823-7470

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

1007 Johnstown Ave
Salina, KS 67401
Phone (785) 823-7107

2936 Georgia Ave
Salina, KS 67401
Phone (785) 825-6954

623 S 3rd St
Salina, KS 67401
Phone (785) 825-6757

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1508109299",
    "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",
            "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": "2090 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016702",
            "telephone_number": "785-825-8221",
            "fax_number": "785-452-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Elm St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "KS",
            "postal_code": "674671608",
            "country_code": "US",
            "telephone_number": "785-392-2144",
            "fax_number": "785-392-3231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S Santa Fe Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674014190",
            "country_code": "US",
            "telephone_number": "785-823-7470",
            "fax_number": "785-823-0506",
            "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": "2013-04-01",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "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": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 2020; 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.