Organization
KINGMAN HEALTHCARE, INC
Active
Other names
Kingman Regional Medical Center - Hualapai Mountain Campus, Kingman Hospital, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM BLANCHARD (CFO)
(928) 681-8668
Entity
Organization
Contact information
Practice address
3801 SANTA ROSA DR, KINGMAN, AZ 86401-2311
(928) 263-5688
(928) 263-5686
Mailing address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-0626
(928) 692-2706
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
282N00000X
General Acute Care Hospital
SH5739
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0913870
BCBS
AZ
Enumeration date
02/08/2008
Last updated
07/02/2020
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