Healthcare Provider Details

I. General information

NPI: 1528026291
Provider Name (Legal Business Name): NINNESCAH VALLEY HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W D AVE
KINGMAN KS
67068-1266
US

IV. Provider business mailing address

PO BOX 376
KINGMAN KS
67068-0376
US

V. Phone/Fax

Practice location:
  • Phone: 620-532-3147
  • Fax: 620-532-0167
Mailing address:
  • Phone: 620-532-3147
  • Fax: 620-532-0167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberH048001
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH048001
License Number StateKS

VIII. Authorized Official

Name: THAD TURNER
Title or Position: CFO
Credential:
Phone: 620-532-3147