NPIMap

Organization Active NPI

Kingman Healthcare, Inc

Doing business as Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
National Provider Identifier
1265423917
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0010 Issued in AZ
Legal business name
KINGMAN HEALTHCARE, INC
Doing business as
Kingman Regional Medical Center
Practice address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone
(928) 681-8655
Fax
(928) 263-3599
NPI assigned
Nov 2, 2005
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Hoffman
Title
Cfo
Phone
(928) 263-3087

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA0059 AZ
Community Based Hospice Care Agency 251G00000X SPC3040 AZ
General Acute Care Hospital 282N00000X H0010 AZ Primary
Physiological Laboratory 293D00000X 137455 AZ

Addresses

Primary practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Mailing address

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

Other names 2

  • Kingman Regional Medical Center Doing business as
  • Kingman Hospital, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040216001173 AZ Part B Supplier - Clinic/Group Practice 6901791367 Receives reassigned benefits from 420 practitioners
2 other NPIs on this enrollment
Practice locations: Kingman, AZ; Lake Havasu City, AZ; Golden Valley, AZ
O20051108000928 AZ Part A Provider - Hospital 6901791367 Practice locations: Golden Valley, AZ; Kingman, AZ
O20101021000228 AZ Part A Provider - Home Health Agency 6901791367 1 other NPI on this enrollment
Practice locations: Kingman, AZ
O20110510000264 AZ Part A Provider - Hospice 6901791367 1 other NPI on this enrollment
Practice locations: Kingman, AZ
O20120427000631 AZ Part A Provider - Hospital 6901791367 1 other NPI on this enrollment
Practice locations: Kingman, AZ

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1265423917. Details of each certification follow.

Hospital certification: CCN 030055

Legal name
KINGMAN HEALTHCARE INC
Doing business as
KINGMAN REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 3, 1966
Last certification
Mar 8, 2018
Beds
235
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Aug 28, 1980 in AZ
Enrollment address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Other Hospital Practice Location
Hospital subgroups
General

Home health agency certification: CCN 037050

Legal name
KINGMAN HEALTHCARE INC
Doing business as
KINGMAN REGIONAL MEDICAL CENTER HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 17, 1984
Last certification
Feb 27, 2020
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1983 in AZ
Enrollment address
2202 N Stockton Hill Rd
Ste 200
Kingman, AZ 86401-4622

Hospice certification: CCN 031552

Legal name
KINGMAN HEALTHCARE INC
Doing business as
KINGMAN REGIONAL MEDICAL CENTER HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 8, 2002
Last certification
Jul 30, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1983 in AZ
Enrollment address
2202 N Stockton Hill Rd
Ste 200
Kingman, AZ 86401-4622

Hospital certification: CCN 03T055

Legal name
KINGMAN HEALTHCARE INC
Doing business as
KINGMAN REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Sep 15, 1980 in AZ
Enrollment address
3801 Santa Rosa Dr
Kingman, AZ 86401-2311
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kingman Regional Medical Center Home HealthCCN 037050 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Apr 17, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Kingman Regional Medical Center HospiceCCN 031552 · All quality measures
Ownership
For-Profit
Certified
Feb 8, 2002
Medicare certification status
ActiveFrom the Provider of Services file

Care Compare: Hospital

Medicare Care Compare
Listed as
Kingman Regional Medical CenterCCN 030055 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Kingman Regional Medical CenterCCN 03T055 · All quality measures
Ownership
Government
Certified
Jul 1, 2002

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0534291Kingman Regional Medical Center Laboratory3269 Stockton Hill Rd, Kingman, AZ 86409AccreditationJan 2, 2027
03D1068733Kingman Regional Medical Center3269 Stockton Hill Rd, Kingman, AZ 86409AccreditationJun 23, 2028

National Provider Directory

National Provider Directory

Locations

4995 US Highway 68
Ste 1
Golden Valley, AZ 86413
Phone (928) 681-8500

1712 Sycamore Ave
Ste 101
Kingman, AZ 86409

1739 E Beverly Ave
Ste 214
Kingman, AZ 86409
Phone (928) 681-8734

1739 E Beverly Ave
Ste 214217
Kingman, AZ 86409
Phone (928) 681-8724

1740 Sycamore Ave
Ste A
Kingman, AZ 86409
Phone (928) 681-8717

1740 Sycamore Ave
Ste C
Kingman, AZ 86409
Phone (928) 377-0433

2226 Hualapai Mountain Rd
Kingman, AZ 86401
Phone (928) 681-8530

3269 N Stockton Hill Rd
Ste 3
Kingman, AZ 86409

3801 Santa Rosa Dr
Ste 103
Kingman, AZ 86401
Phone (928) 681-8742

3801 Santa Rosa Dr
Ste 300
Kingman, AZ 86401
Phone (928) 681-8744

3801 Santa Rosa Dr
Ste 302
Kingman, AZ 86401

325 Maple Ave
Red Bank, NJ 07701
Phone (732) 292-4363

178 N Pecos Rd
Henderson, NV 89074

Interoperability endpoints

  • Direct secure messaging: adams.karleen@direct.azkrmc.md
  • Direct secure messaging: affleck.paul@direct.azkrmc.md
  • Direct secure messaging: ahmed.sahir@direct.azkrmc.md
  • Direct secure messaging: albright.drew@direct.azkrmc.md
  • Direct secure messaging: alleman.wade@direct.azkrmc.md
  • Direct secure messaging: allen.jason@direct.azkrmc.md
  • Direct secure messaging: allen.stan@direct.azkrmc.md
  • Direct secure messaging: allen.stan@st.direct.azkrmc.md
  • Direct secure messaging: amin.chirag@direct.azkrmc.md
  • Direct secure messaging: anand.kishlay@direct.azkrmc.md
  • Direct secure messaging: aquino.fema@direct.azkrmc.md
  • Direct secure messaging: aquino.fema@st.direct.azkrmc.md
  • Direct secure messaging: arita.adam@direct.azkrmc.md
  • Direct secure messaging: awomolo.agboola@direct.azkrmc.md
  • Direct secure messaging: baig.hammad@direct.azkrmc.md
  • Direct secure messaging: baker.amanda@direct.azkrmc.md
  • Direct secure messaging: baker.amanda@st.direct.azkrmc.md
  • Direct secure messaging: baker.timothy@direct.azkrmc.md
  • Direct secure messaging: barneycastle.earlene@direct.azkrmc.md
  • Direct secure messaging: baumgardner.tessa@direct.azkrmc.md

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Dorner Individual Corporate DirectorBoard Member Aug 28, 2018
Ryan E Swapp Individual Corporate DirectorBoard Member Aug 24, 2021
Heath a Evans Individual Corporate OfficerCeo Feb 20, 2023
W-2 Managing EmployeeCeo Feb 20, 2023
W-2 Managing EmployeeAd;Ceo Feb 20, 2023
W-2 Managing EmployeeAd; Feb 20, 2023
Cathy Ott Individual Corporate DirectorBoard Member Jan 27, 2005
Corporate DirectorBoard Member Jan 24, 2012
Lynne Petersen Individual Corporate DirectorBoard Member Aug 23, 2017
Corporate DirectorBoard Member Aug 21, 2017
Krystal Burge Individual Corporate DirectorBoard Member Oct 28, 2004
Corporate DirectorBoard Member Jan 24, 2012
Susan Chan Individual Corporate DirectorBoard Member Nov 1, 2007
Corporate DirectorBoard Member Nov 7, 2007
Joshua R Hoffman Individual Corporate OfficerCfo Feb 10, 2023
W-2 Managing EmployeeCfo Feb 10, 2023
Corporate OfficerCfo Feb 11, 2023
W-2 Managing EmployeeAd;Cfo Feb 11, 2023
W-2 Managing EmployeeCfo Feb 11, 2023
W-2 Managing Employee Feb 11, 2023
Coral Loyd Individual Corporate DirectorBoard Member Aug 25, 2015
Robert Devries Individual Corporate DirectorBoard Member Aug 24, 2021
Kale Bodily Individual Corporate DirectorBoard Member Oct 25, 2012
Sharmila Parvathaneni Individual Corporate DirectorChief of Staff Jul 1, 2022
James Baker Individual Corporate DirectorBoard Member Oct 23, 2008
Corporate DirectorBoard Member Jun 20, 2013
Dan Delmonaco Individual Corporate DirectorBoard Member Feb 26, 2019
Brent J Bedke Individual Corporate DirectorChief of Staff Jul 1, 2024
Bassam Elters Individual Corporate DirectorBoard Member Jun 27, 2023
Karleen Carol Adams Individual W-2 Managing EmployeeMD; Mar 9, 2026
Mohammad a Subhan Individual W-2 Managing EmployeeBack-Up Medical Director Jul 10, 2025
Shawn D Butler Individual W-2 Managing EmployeeSenior Director of Operations Aug 8, 2025
Operational/Managerial ControlSenior Director of Operations Aug 8, 2025
Natasha M Weberg Individual Contracted Managing EmployeeBack-Up Administrator Mar 2, 2026
Vanessa Gingras Individual W-2 Managing EmployeeHospice Clinical Manager Aug 24, 2025

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 522

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 522

Affiliated clinicians 598

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 598

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1265423917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-757-2101",
            "fax_number": "928-757-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-681-8655",
            "fax_number": "928-263-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGMAN HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "928-263-3087"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA0059",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "SPC3040",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H0010",
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "AZ",
            "license": "137455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingman Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingman Hospital, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.