KINGMAN HEALTHCARE, INC (NPI# 1760703805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760703805 |
| Entity Type | Organization |
| Organization Name | KINGMAN HEALTHCARE, INC |
| Other Organization Name | KINGMAN HOSPITAL, INC |
| Practice Address |
1726 E Beverly Ave Ste A Kingman AZ 86409-3500 |
| Mailing Address |
1739 E Beverly Ave Ste 200 Kingman AZ 86409-3593 |
| Practice Telephone | 9287533303 |
| Practice Fax Number | 9287533603 |
| Mailing Telephone | 9287533303 |
| Mailing Fax Number | 9287533603 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | MR. TIM BLANCHARD (CFO) |
| Authorized Official Telephone | 9286818668 |
| Is Organization Subpart | Y |
| Parent Organization Name | KINGMAN HEALTHCARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kingman Hospital, Inc | Former Legal Business Name - Organization |
| KRMC Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1265423917 | Kingman Healthcare, Inc | Home Health | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2005-11-02 |
| Street Address |
1726 E BEVERLY AVE STE A |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467897595 | Sophia Johnson | Emergency Medicine | 1726 E Beverly Ave Ste A, Kingman, AZ 86409-3500 | 2013-05-02 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306356738 | Salim Medical Urgent Care | Clinic/Center | 1465 E Northern Ave, Kingman, AZ 86409-2402 | 2017-10-12 |
| 1699159111 | Northern Arizona Medical Group, Pllc | Clinic/Center | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-07-14 |
| 1962657783 | Arizona Institure of Medicine & Surgery | Clinic/Center | 3636 Stockton Hill Rd, Kingman, AZ 86409 | 2008-11-20 |
| 1861646432 | Fastrax Urgent Care | Clinic/Center | 2002 Stockton Hill Rd, Ste, Kingman, AZ 86401-4698 | 2008-11-10 |
| 1376730119 | Jose Gochoco Do Pllc | Clinic/Center | 2002 Stockton Hill Rd, #102, Kingman, AZ 86401-4698 | 2007-09-25 |
| 1558387845 | Twin Peaks Medical Associates Pllc | Clinic/Center | 2002 N Stockton Hill Rd, Suite 103, Kingman, AZ 86401-4698 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305312 | Right Care Urgent Care LLC | Clinic/Center | 9041 E Talking Stick Way, Scottsdale, AZ 85250-8521 | 2020-10-26 |
| 1528675865 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4959 W Ray Rd Ste 33, Chandler, AZ 85226-2098 | 2020-09-30 |
| 1952918583 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2875 W Ray Rd Ste 8, Chandler, AZ 85224-3619 | 2020-09-28 |
| 1962019554 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 725 S Rural Rd Ste 120, Tempe, AZ 85281-2047 | 2020-09-28 |
| 1265049894 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 12775 W Bell Rd Ste 100, Surprise, AZ 85378-9770 | 2020-09-28 |
| 1982211512 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 1810 S Power Rd Ste 101, Mesa, AZ 85206-4325 | 2020-09-28 |
| 1508473133 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2860 W Peoria Ave Ste B, Phoenix, AZ 85029-5218 | 2020-09-28 |
| 1891302428 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3244 S Mill Ave Ste 101, Tempe, AZ 85282-3688 | 2020-09-28 |
| 1396352985 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3705 S Arizona Ave Ste 1, Chandler, AZ 85248-2703 | 2020-09-28 |
| 1588271118 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4902 E Shea Blvd Ste 101, Scottsdale, AZ 85254-4184 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.