Organization
SALINA CLINIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM A OLIVER (ADMINISTRATOR)
(785) 827-9631
Entity
Organization
Contact information
Practice address
501 S SANTA FE AVE, SUITE 100, SALINA, KS 67401-4189
(785) 827-9631
(785) 827-0217
Mailing address
501 S SANTA FE AVE, 100, SALINA, KS 67401-4189
(785) 827-9631
(785) 827-0217
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
SA 534785
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213750A
—
KS
Enumeration date
09/06/2005
Last updated
09/02/2010
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