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KINGMAN HEALTHCARE INC NPI 1689897787


NPI Information

NPI: 1689897787
Provider Name: KINGMAN HEALTHCARE, INC

Former Legal Business Name: KINGMAN HOSPITAL, INC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1739 BEVERLY AVENUE
SUITE 200
KINGMAN, AZ
ZIP 86409
Phone: (928) 263-4547
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KINGMAN HEALTHCARE, INC is a specialist in Kingman, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KINGMAN HEALTHCARE, INC NPI is 1689897787. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Kingman Hospital, Inc.

The provider's business location address is:

1739 BEVERLY AVENUE
SUITE 200
KINGMAN, AZ
ZIP 86409-593
Phone: (928) 263-4547
Fax: (928) 263-4794

The provider's authorized official is Amber Husted .
The authorized official title is Cbo Billing Manager and has the following contact phone number (928) 263-4735.

The enumeration date for this NPI number is 4/10/2007 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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RI0011XInternal MedicineInterventional CardiologyNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207V00000XObstetrics & GynecologyNo
7207X00000XOrthopaedic SurgeryNo
8208000000XPediatricsNo
9208600000XSurgeryNo
10208800000XUrologyNo
11208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
12363A00000XPhysician AssistantNo
13363LF0000XNurse PractitionerFamilyNo
14174400000XSpecialistYes

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
1399256MEDICAIDARIZONA

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

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.