Organization
NINNESCAH VALLEY HEALTH SYSTEMS, INC.
Inactive
Other names
KINGMAN HEALTHCARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LACY DROSSELMEYER (COMPLIANCE SPECIALIST)
(620) 532-0281
Entity
Organization
Contact information
Practice address
750 W D AVE, KINGMAN, KS 67068-1266
(620) 532-3147
(620) 532-0167
Mailing address
750 W D AVE, PO BOX 376, KINGMAN, KS 67068-1266
(620) 532-3147
(620) 532-0167
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
H048001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00231
BLUE CROSS/BLUE SHIELD
KS
05
—
30003916630001
—
KS
Enumeration date
09/19/2005
Last updated
09/03/2025
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