KINGMAN HEALTHCARE, INC (NPI# 1265423917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265423917 |
| Entity Type | Organization |
| Organization Name | KINGMAN HEALTHCARE, INC |
| Other Organization Name | KINGMAN HOSPITAL, INC |
| Practice Address |
3269 N Stockton Hill Rd Kingman AZ 86409-3619 |
| Practice Telephone | 9286818655 |
| Practice Fax Number | 9282633599 |
| Mailing Telephone | 9286818655 |
| Mailing Fax Number | 9282633599 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | TIM BLANCHARD (CFO) |
| Authorized Official Telephone | 9286818668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | HHA0059 | AZ | Agencies |
| N | 251G00000X | Hospice Care, Community Based | SPC3040 | AZ | Agencies |
| N | 293D00000X | Physiological Laboratory | 137455 | AZ | Laboratories |
| Y | 282N00000X | General Acute Care Hospital | H0010 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 020256 | 05 | |
| AZ | 184755 | 05 |
| Other Name | Type Code |
|---|---|
| Kingman Hospital, Inc | Former Legal Business Name - Organization |
| Kingman Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760703805 | Kingman Healthcare, Inc | Clinic/Center | 1726 E Beverly Ave Ste A, Kingman, AZ 86409-3500 | 2010-06-11 |
| 1174701478 | Kingman Healthcare, Inc | Home Health | 2202 N Stockton Hill Rd Ste 200, Kingman, AZ 86401-4622 | 2008-02-08 |
| 1992286298 | Kingman Healthcare, Inc | Pharmacy | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409-3593 | 2018-08-24 |
| 1538347836 | Kingman Healthcare, Inc | Hospice Care, Community Based | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2008-02-08 |
| 1184802480 | Kingman Healthcare, Inc | General Acute Care Hospital | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 | 2008-02-08 |
| 1689897787 | Kingman Healthcare, Inc | Family Medicine | 1739 Beverly Avenue, Suite 200, Kingman, AZ 86409-3593 | 2007-04-10 |
| Street Address |
3269 N STOCKTON HILL RD |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510673 | Attiya Salim | Anesthesiology | 3269 N Stockton Hill Rd, Kingman, AZ 86401-3619 | 2005-06-28 |
| 1942809264 | Brittney Migliozzi | Pharmacist | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-10-19 |
| 1508489451 | Clarke Snodgrass | Student in an Organized Health Care Education/Training Program | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-05-27 |
| 1275155848 | Richard Hernandez | Technician/Technologist | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-05-17 |
| 1851920060 | Daniela Nicole La Delfa | Student in an Organized Health Care Education/Training Program | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-04-08 |
| 1992332647 | Dawn Beth Bowling | Student in an Organized Health Care Education/Training Program | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-03-24 |
| 1518594274 | John Joseph Scudiero | Student in an Organized Health Care Education/Training Program | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-03-24 |
| 1730715731 | Sarah Marie Zito | Student in an Organized Health Care Education/Training Program | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-03-21 |
| 1710526801 | Thomas Dee Bress | Counselor | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-01-06 |
| 1922645696 | Jennifer Ann Shade | Nurse Practitioner | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2019-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710411202 | Kingman Hospital Inc | General Acute Care Hospital | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2017-04-12 |
| 1962637710 | Hualapai Mountain Medical Center, LLC | General Acute Care Hospital | 3801 Santa Rosa, Kingman, AZ 86401-2311 | 2009-05-22 |
| 1184802480 | Kingman Healthcare, Inc | General Acute Care Hospital | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 | 2008-02-08 |
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| 1699322925 | Valley Hospitalists Group Pllc | General Acute Care Hospital | 6227 E Juniper Ave, Scottsdale, AZ 85254-1314 | 2019-08-21 |
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| 1518409218 | Rachel Vaughn | General Acute Care Hospital | 2623 N 108th Dr, Avondale, AZ 85392-5806 | 2016-11-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.