Provider Type Icon

KINGMAN HEALTHCARE INC NPI 1265423917


NPI Information

NPI: 1265423917
Provider Name: KINGMAN HEALTHCARE, INC

Former Legal Business Name: KINGMAN HOSPITAL, INC

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
3269 N STOCKTON HILL RD
KINGMAN, AZ
ZIP 86409
Phone: (928) 681-8655
Get Directions

KINGMAN HEALTHCARE, INC is a general acute care hospital in Kingman, AZ. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. KINGMAN HEALTHCARE, INC NPI is 1265423917. 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:

3269 N STOCKTON HILL RD
KINGMAN, AZ
ZIP 86409-619
Phone: (928) 681-8655
Fax: (928) 263-3599

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 enumeration date for this NPI number is 11/2/2005 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
1251E00000XHome HealthHHA0059ARIZONANo
2251G00000XHospice Care, Community BasedSPC3040ARIZONANo
3293D00000XPhysiological Laboratory137455ARIZONANo
4282N00000XGeneral Acute Care HospitalH0010ARIZONAYes

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
1020256MEDICAIDARIZONA
2184755MEDICAIDARIZONA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.