# KINGMAN HEALTHCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kingman Regional Medical Center - Hualapai Mountain Campus, Kingman Hospital, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184802480
- **Authorized official:** MR. TIM BLANCHARD (CFO)
- **Authorized official phone:** (928) 681-8668

## Contact information

- **Practice address:** 3801 SANTA ROSA DR, KINGMAN, AZ 86401-2311
- **Practice address phone:** (928) 263-5688
- **Practice address fax:** (928) 263-5686
- **Mailing address:** 3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
- **Mailing address phone:** (928) 757-0626
- **Mailing address fax:** (928) 692-2706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |
| 282N00000X | General Acute Care Hospital | SH5739 | AZ | — |

## Other

- **Enumeration date:** 02/08/2008
- **Last updated:** 07/02/2020