NPIMap

Organization Active NPI

Ninnescah Valley Health Systems, Inc.

Doing business as Kingman Healthcare Center

  • Medicare Defined Swing Bed Hospital Unit
  • Kingman, KS
National Provider Identifier
1528026291
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
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
May 3, 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
Thad Turner
Title
Cfo
Phone
(620) 532-3147

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H048001 KS Primary
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 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
O20061229000340 KS Part A Provider - Critical Access Hospital 5799683694 Receives reassigned benefits from 2 practitioners
Practice locations: Kingman, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528026291. Details of each certification follow.

Hospital certification: CCN 17Z378

Legal name
NINNESCAH VALLEY HEALTH SYSTEMS INC
Doing business as
KINGMAN HEALTHCARE CENTER
Organization structure
CorporationNon-profit
Incorporated
Sep 6, 1968 in KS
Enrollment address
750 W D Ave
Kingman, KS 67068-1266
Hospital Swing-Bed Unit

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).

National Provider Directory

National Provider Directory
Tax ID family
Kingman Comm Rural Heal2 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 9

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 Jan 1, 2018 14.3%
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 5% Or Greater Indirect Ownership InterestCeo Apr 21, 2021 100%
Corporate OfficerCeo Apr 21, 2021 100%
W-2 Managing EmployeeAd; Apr 21, 2021
Operational/Managerial ControlCeo Apr 21, 2021 100%
Michele Kyle Individual Corporate DirectorBoard Member Jan 1, 2020 14.3%
Angie Maloney Individual Corporate DirectorBoard Member Jan 1, 2018 14.3%
Amy Wallace Individual Corporate DirectorBoard Member Apr 1, 2023 14.3%
Lacy Drosselmeyer Individual Corporate DirectorCompliance Specialist Aug 1, 2016 100%
W-2 Managing EmployeeCompliance Specialist Aug 1, 2016 100%
Operational/Managerial Control Aug 10, 2016 100%
Steve Witty Individual Corporate DirectorBoard Member Jan 1, 2018 14.3%
Andrew W Piester Individual Corporate DirectorBoard Member Jul 1, 2019 14.3%

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 17

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 17

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1528026291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 376",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670680376",
            "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": "2006-05-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "THAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-532-3147"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KS",
            "license": "H048001",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H048001",
            "primary": false
        }
    ],
    "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.