Ninnescah Valley Health Systems, Inc.
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Kingman, KS
NPI 1528026291 · NPPES record last updated Sep 3, 2025
Key facts
- NPI
- 1528026291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- H048001 (KS)
- 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
- May 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Thad Turner
- Title
- Cfo
- Phone
- (620) 532-3147
Owners & managing parties with NPI records 1
-
Andrew W Piester, O.D.
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 1
Related certifications (CCN) 1
Practitioners 20
-
Erin M Baxa, MD
-
Tyler J Antenen, P.A.-C
-
Joseph Gerber, MD
-
Logan Leigh Hageman, APRN
-
Dennis Kalmar, PA-C
-
Jessica Blackwill, APRN
-
Sarah R Kinderknecht, APRN
-
Amy Renee Miller, APRN
-
Dusty Atterbury, PA
-
Jo Anne Berry, P.A.-C
-
Danielle Cox, RD
-
Ashley Houser, D.O.
-
Joshua Alan Reed, NP
-
Kimberly Widler, NP-C
Affiliated clinicians 3
-
Erin M Baxa, MD
-
Joseph Gerber, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Hospital certification: CCN 17Z378
- Legal name
- NINNESCAH VALLEY HEALTH SYSTEMS INC
- Doing business as
- KINGMAN HEALTHCARE CENTER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 6, 1968 in KS
- Enrollment address
- 750 W D Ave
Kingman, KS 67068-1266
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Greg Schreiner |
Corporate Director |
Jan 1, 2018 | 14.3% |
| Thad Turner |
Corporate Officer |
Mar 1, 2018 | 100% |
| W-2 Managing Employee |
Mar 1, 2018 | 100% | |
| Operational/Managerial Control |
Mar 1, 2018 | 100% | |
| Preston M Sauers |
5% Or Greater Indirect Ownership Interest |
Apr 21, 2021 | 100% |
| Corporate Officer |
Apr 21, 2021 | 100% | |
| W-2 Managing Employee |
Apr 21, 2021 | ||
| Operational/Managerial Control |
Apr 21, 2021 | 100% | |
| Michele Kyle |
Corporate Director |
Jan 1, 2020 | 14.3% |
| Angie Maloney |
Corporate Director |
Jan 1, 2018 | 14.3% |
| Amy Wallace |
Corporate Director |
Apr 1, 2023 | 14.3% |
| Lacy Drosselmeyer |
Corporate Director |
Aug 1, 2016 | 100% |
| W-2 Managing Employee |
Aug 1, 2016 | 100% | |
| Operational/Managerial Control | Aug 10, 2016 | 100% | |
| Steve Witty |
Corporate Director |
Jan 1, 2018 | 14.3% |
| Andrew W Piester |
Corporate Director |
Jul 1, 2019 | 14.3% |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Kingman Healthcare Center Family Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Mar 27, 2015 |
| Cunningham Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | May 6, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061229000340 | KS | Part a Provider - Critical Access Hospital | 5799683694 |
Receives reassigned benefits from 2 practitioners Practice locations: Kingman, KS |
National Provider Directory
- Tax ID family
- Ninnescah Valley Health Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | H048001 | KS | Yes |
| Critical Access Hospital | 282NC0060X | H048001 | KS |
Addresses
Primary practice location
750 W D Ave
Kingman, KS 67068-1266
Mailing address
PO Box 376
Kingman, KS 67068-0376
Phone (620) 532-3147
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003916630001 | Medicaid | KS |
Other names
- KINGMAN HEALTHCARE CENTER
Other providers in Kingman, KS
- Cherie Louise Morris
- New Counseling & Support Services
- Ninnescah Valley Health Systems Inc
- Ninnescah Valley Health Systems, Inc.
- Ninnescah Valley Health Systems, Inc.
- Onyx Enterprises Inc.
- Megan Ann Osner
- Peace of Mind Counseling LLC
- Robert Pierce
- Andrew W Piester
All providers in Kingman, KS · Medicare Defined Swing Bed Hospital Unit in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.