| NPI | 1538347836 |
|---|---|
| Doing Business As | KINGMAN REGIONAL MEDICAL CENTER HOSPICE |
| Former Legal Business Name | KINGMAN HOSPITAL, INC |
| Entity Type | Organization |
| Authorized Contact | TIM BLANCHARD CFO 928-681-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: AZ SPC3040) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: AZ HSPC4872) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2020-07-02 |