NPIMap

Organization Active NPI

Ninnescah Valley Health Systems, Inc.

Doing business as Kingman Healthcare Center

  • Critical Access Hospital
  • Kingman, KS
National Provider Identifier
1285629956
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H048001 Issued in KS
Legal business name
NINNESCAH VALLEY HEALTH SYSTEMS, INC.
Doing business as
Kingman Healthcare Center
Practice address
750 W D Ave
Kingman, KS 67068-1266
Phone
(620) 532-3147
Fax
(620) 532-0167
NPI assigned
Sep 19, 2005
Reactivated
May 2, 2006
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Lacy Drosselmeyer
Title
Compliance Specialist
Phone
(620) 532-0281

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Critical Access Hospital 282NC0060X H048001 KS Primary

Addresses

Primary practice location

750 W D Ave
Kingman, KS 67068-1266

Mailing address

750 W D Ave
PO Box 376
Kingman, KS 67068-1266
Phone (620) 532-3147

Other identifiers 2

IdentifierTypeStateIssuer
30003916630001MedicaidKS
00231OtherKSBLUE CROSS/BLUE SHIELD

Other names 1

  • KINGMAN 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
O20061229000232 KS Part A Provider - Critical Access Hospital 5799683694 Receives reassigned benefits from 41 practitioners
Practice locations: Kingman, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285629956. Details of each certification follow.

Hospital certification: CCN 171378

Legal name
NINNESCAH VALLEY HEALTH SYSTEMS INC
Doing business as
KINGMAN HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2005
Last certification
Mar 8, 2018
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 26, 1968 in KS
Enrollment address
750 W D Ave
Kingman, KS 67068-1266
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Kingman Healthcare CenterCCN 171378 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ninnescah Valley Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Greg Schreiner Individual Corporate DirectorBoard Member Aug 1, 2019 100%
Neil Freund Individual Corporate DirectorBoard Member Aug 1, 2012 100%
Thad Turner Individual Corporate OfficerCfo Mar 1, 2018 100%
W-2 Managing EmployeeCfo Mar 1, 2018 100%
Operational/Managerial ControlCfo Mar 1, 2018 100%
Preston M Sauers Individual Corporate OfficerCeo Mar 9, 2021 100%
W-2 Managing EmployeeCeo Mar 9, 2021 100%
Operational/Managerial ControlCeo Mar 9, 2021 100%
Michele Kyle Individual Corporate DirectorBoard Member Aug 1, 2019 100%
Roger Vanlandingham Individual Corporate DirectorBoard Member Aug 1, 2012 100%
Angie Maloney Individual Corporate DirectorBoard Member Aug 1, 2019 100%
Lacy Drosselmeyer Individual Corporate DirectorDirector of Clinics Aug 1, 2016 100%
W-2 Managing EmployeeDirector of Clinics Aug 1, 2016 100%
Operational/Managerial ControlDirector of Clinics Aug 1, 2016 100%
Steve Witty Individual Corporate DirectorBoard Member Aug 1, 2019 100%
Andrew W Piester Individual Corporate DirectorBoard Member Aug 1, 2019 100%

Owners & managing parties with NPI records 1

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
Kingman Healthcare Center Family ClinicKingman, KS, CCN 178588 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 27, 2015
Cunningham ClinicCunningham, KS, CCN 178587 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 6, 2015

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

Affiliated clinicians 46

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1285629956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W D AVE",
            "address_2": "PO BOX 376",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681266",
            "telephone_number": "620-532-3147",
            "fax_number": "620-532-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W D AVE",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681266",
            "telephone_number": "620-532-3147",
            "fax_number": "620-532-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINNESCAH VALLEY HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "deactivation_date": "2006-05-02",
        "reactivation_date": "2006-05-02",
        "status": "A",
        "authorized_official_last_name": "DROSSELMEYER",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "COMPLIANCE SPECIALIST",
        "authorized_official_telephone_number": "620-532-0281"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H048001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003916630001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00231",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGMAN HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KINGMAN HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingman, KS

Sources for this page

Verify at the official NPI Registry.