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General NPI Number Information
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NPI Number | 1285629956
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Entity Type | Organization
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Legal Business Name | NINNESCAH VALLEY HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 750 W D AVE
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City | KINGMAN
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State | KS
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Zip | 67068-1266
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Country | US
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Telephone | 620-532-3147
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Fax | 620-532-0167
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Provider Business Mailing Address
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Address Line | 750 W D AVE PO BOX 376
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City | KINGMAN
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State | KS
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Zip | 67068-1266
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Country | US
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Telephone | 620-532-3147
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Fax | 620-532-0167
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Authorized Official
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Title or Position | COMPLIANCE SPECIALIST
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Name | LACY DROSSELMEYER
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Credential |
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Telephone | 620-532-0281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H048001
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License Number State | KS
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