NPIMap

Organization Active NPI

Ninnescah Valley Health Systems, Inc.

Doing business as Kingman Healthcare Center

  • Critical Access Hospital
  • Kingman, KS
National Provider Identifier
1508969965
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
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 7, 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) 532-3147

Specialties & licenses 2

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

Addresses

Primary practice location

750 W D Ave
Kingman, KS 67068-1266

Mailing address

PO Box 375
Kingman, KS 67068-0375
Phone (620) 532-3147

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
O20040407000038 KS Part B Supplier - Clinic/Group Practice 5799683694 Receives reassigned benefits from 41 practitioners
3 other NPIs on this enrollment
Practice locations: Cunningham, KS; Kingman, KS

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.

National Provider Directory

National Provider Directory

Ownership & related parties

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 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1508969965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670680375",
            "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": "2006-09-07",
        "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": "620-532-3147"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.