Kingman Healthcare, INC
Rehabilitation Unit in Kingman, AZ. Organization (NPI-2).
NPI number1184802480
StatusActive
Last updated in NPPESJul 2, 2020
Details
- NPI
- 1184802480
- Entity type
- Organization (NPI-2)
- Legal business name
- Kingman Healthcare, INC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2008
- Certification date
- Jul 2, 2020
- Last updated
- Jul 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 273Y00000X | Rehabilitation Unit | – | – | Yes |
| 282N00000X | General Acute Care Hospital | SH5739 | AZ |
Other names
- Kingman Hospital, INC (Former Legal Business Name)
- Kingman Regional Medical Center - Hualapai Mountain Campus (Doing Business As)
Practice location
3801 Santa Rosa DrKingman, AZ 86401-2311
Phone 928-263-5688 · Fax 928-263-5686
Mailing address
3269 Stockton Hill RdKingman, AZ 86409-3619
Phone 928-757-0626 · Fax 928-692-2706
Other practice locations
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Kingman, AZ 86409-3619
Phone 928-757-0626 · Fax 928-692-2706
Authorized official
Tim Blanchard
Cfo
9286818668
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