| NPI | 1265423917 |
|---|---|
| Doing Business As | KINGMAN REGIONAL MEDICAL CENTER |
| Former Legal Business Name | KINGMAN HOSPITAL, INC |
| Entity Type | Organization |
| Authorized Contact | TIM BLANCHARD CFO 928-681-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: AZ H0010) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AZ HHA0059) |
| 251G00000X Hospice Care, Community Based (Licence: AZ SPC3040) | |
| 293D00000X Physiological Laboratory (Licence: AZ 137455) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-07-02 |