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Organization

NINNESCAH VALLEY HEALTH SYSTEMS INC

Active
Other names
KINGMAN HEALTHCARE CENTER FAMILY CLINIC
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) 532-0295
(855) 483-0002
Mailing address
750 W D AVE, KINGMAN, KS 67068-1266
(620) 532-0295
(855) 483-0002

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30003916630006
KS
Enumeration date
04/17/2015
Last updated
09/03/2025
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