NPI | 1184802480 |
---|---|
Former Legal Business Name | KINGMAN HOSPITAL, INC |
Entity Type | Organization |
Authorized Contact | TIM BLANCHARD CFO 928-681-8668 |
Organization Subpart ? | No |
Primary Taxonomy | 273Y00000X Rehabilitation Unit |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: AZ SH5739) |
Enumeration Date | 2008-02-08 |
Last Update Date | 2020-07-02 |