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KINGMAN HEALTHCARE INC NPI 1184802480


NPI Information

NPI: 1184802480
Provider Name: KINGMAN HEALTHCARE, INC

Former Legal Business Name: KINGMAN HOSPITAL, INC

Classification: Rehabilitation Unit - 273Y00000X
Entity Type: Organization

CLIA Number: 03D2112563

Address:
3801 SANTA ROSA DR
KINGMAN, AZ
ZIP 86401
Phone: (928) 263-5688
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KINGMAN HEALTHCARE, INC is a rehabilitation unit in Kingman, AZ. The provider is in general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. KINGMAN HEALTHCARE, INC NPI is 1184802480. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Kingman Hospital, Inc.

The provider's business location address is:

3801 SANTA ROSA DR
KINGMAN, AZ
ZIP 86401-311
Phone: (928) 263-5688
Fax: (928) 263-5686

The provider's authorized official is Tim Blanchard .
The authorized official title is Cfo and has the following contact phone number (928) 681-8668.

The CLIA number assigned to this NPI record is 03D2112563 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 7/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalSH5739ARIZONANo
2273Y00000XRehabilitation UnitYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P0913870OTHERCALIFORNIABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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