NPIMap

Organization Active NPI

Ninnescah Valley Health Systems, Inc.

  • 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.
Practice address
750 W D Ave
Kingman, KS 67068-1266
Phone
(620) 532-3147
Fax
(620) 532-0167
NPI assigned
Sep 7, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lacy Drosselmeyer
Title
Compliance Specialist
Phone
(620) 532-3147

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 4

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

Practitioners 47

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

View all 47

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

All facility ownership & control disclosures 2

Medicare enrollment files

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

National Provider Directory

National Provider Directory

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

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 identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
100021480EMedicaidKS
100004950CMedicaidKS
30003916630001MedicaidKS

Other names 1

NPPES NPI Registry
  • KINGMAN HEALTHCARE CENTER Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2025.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100021480E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004950C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003916630001",
            "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.