NPIMap

Organization Active NPI

Ninnescah Valley Health Systems Inc

Doing business as Cunningham Clinic

  • Rural Health Clinic/Center
  • Cunningham, KS
National Provider Identifier
1437542073
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NINNESCAH VALLEY HEALTH SYSTEMS INC
Doing business as
Cunningham Clinic
Practice address
112 N Main St
Cunningham, KS 67035-8802
Phone
(620) 532-0295
Fax
(855) 290-4906
NPI assigned
Mar 6, 2015
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

112 N Main St
Cunningham, KS 67035-8802

Mailing address

750 W D Ave
Kingman, KS 67068-1266
Phone (620) 532-0295

Other identifiers 1

IdentifierTypeStateIssuer
30003916630005MedicaidKS

Other names 1

  • Cunningham Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.miller.1@19447.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040407000038 KS Part B Supplier - Clinic/Group Practice 5799683694 Receives reassigned benefits from 41 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cunningham, KS; Kingman, KS
O20150508000383 KS Part A Provider - Rural Health Clinic 5799683694 Receives reassigned benefits from 1 practitioner
Practice locations: Cunningham, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437542073. Details of each certification follow.

Rural health clinic certification: CCN 178587

Legal name
NINNESCAH VALLEY HEALTH SYSTEMS INC
Doing business as
CUNNINGHAM CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 1, 2015
Last certification
Dec 13, 2018
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 6, 1968 in KS
Enrollment address
112 N Main St
Cunningham, KS 67035-8802
Related CCNs
171378

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).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0885642Ninnescah Valley Health Systems, Inc112 N Main St, Cunningham, KS 67035Certificate of waiverDec 18, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: amy.miller.1@19447.direct.athenahealth.com

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Thad Turner Individual Corporate OfficerCfo Mar 1, 2018
W-2 Managing EmployeeCfo Mar 1, 2018
Operational/Managerial ControlCfo Mar 1, 2018
Preston M Sauers Individual Corporate OfficerCeo Apr 21, 2021
W-2 Managing EmployeeCeo Apr 21, 2021
Operational/Managerial ControlCeo Apr 21, 2021
Ninnescah Valley Health Systems Inc Organization, Kingman, KS Non-profit 5% Or Greater Direct Ownership Interest May 6, 2015 100%
Lacy Drosselmeyer Individual Corporate DirectorCompliance Specialist Aug 1, 2016
W-2 Managing EmployeeCompliance Specialist Aug 1, 2016
Operational/Managerial ControlCompliance Specialist Aug 1, 2016

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 11

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": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1437542073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W D AVE",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681266",
            "telephone_number": "620-532-0295",
            "fax_number": "855-290-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "CUNNINGHAM",
            "state": "KS",
            "postal_code": "670358802",
            "telephone_number": "620-532-0295",
            "fax_number": "855-290-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINNESCAH VALLEY HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003916630005",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.miller.1@19447.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "112 N Main St",
            "city": "Cunningham",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670358802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cunningham Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cunningham Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cunningham, KS

Sources for this page

Verify at the official NPI Registry.