Active NPI
Kingman Healthcare, Inc
- Specialist
- Kingman, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- KINGMAN HEALTHCARE, INC
- Practice address
- 1739 E Beverly Ave
Kingman, AZ 86409-3593 - Phone
- (928) 263-4547
- Fax
- (928) 263-4794
- NPI assigned
- Apr 10, 2007
- Last updated
- Apr 24, 2026
- Organization subpart
- Yes
- Parent organization
- KINGMAN HEALTHCARE, INC
NPPES NPI Registry
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 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Specialist | 174400000X | NU | Primary | |
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Interventional Cardiology Physician | 207RI0011X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | ||
| Surgery Physician | 208600000X | NU | ||
| Urology Physician | 208800000X | NU | ||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | NU |
Addresses
Primary practice location
1739 E Beverly Ave
Kingman, AZ 86409-3593
Mailing address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 263-4722
Other practice location 1
2226 Hualapai Mountain Rd Ste 101
Kingman, AZ 86401-8374
Phone (928) 681-8742
Other practice location 2
4995 US Highway 68 Ste 1
Golden Valley, AZ 86413-5500
Phone (928) 681-8500
Other practice location 3
2202 N Stockton Hill Rd Ste 101
Kingman, AZ 86401-4622
Phone (928) 681-8706
Other practice location 4
3801 Santa Rosa Dr
Kingman, AZ 86401-2311
Phone (928) 681-8701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 399256 | Medicaid | AZ |
Other names 1
- Kingman Hospital, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040216001173 | AZ | Part B Supplier - Clinic/Group Practice | 6901791367 |
Receives reassigned benefits from 420 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kingman, AZ; Lake Havasu City, AZ; Golden Valley, AZ |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
O20040216001173
-
dba KRMC Urgent Care
- Urgent Care Clinic/Center
- Kingman, AZ
- NPI 1760703805
O20040216001173
National Provider Directory
National Provider Directory- Part of
- Kingman Healthcare Inc
Locations
4995 US Highway 68
Ste 1
Golden Valley, AZ 86413
Phone (928) 681-8500
1726 E Beverly Ave
Ste A
Kingman, AZ 86409
Phone (928) 753-3303
1739 E Beverly Ave
Ste 217
Kingman, AZ 86409
Phone (928) 681-8724
1739 E Beverly Ave
Ste A
Kingman, AZ 86409
1871 Gates Ave
Kingman, AZ 86401
Phone (928) 753-3332
2202 N Stockton Hill Rd
Ste 100
Kingman, AZ 86401
Phone (928) 681-8706
2226 Hualapai Mountain Rd
Ste 101
Kingman, AZ 86401
Phone (928) 681-8703
3801 Santa Rosa Dr
Ste 301
Kingman, AZ 86401
Phone (928) 681-8730
3939 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 662-9302
Practitioners & affiliated clinicians
Practitioners 391
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.
-
- Acute Care Nurse Practitioner
- Bullhead City, AZ
- NPI 1588479984
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Kingman, AZ
- NPI 1093153207
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1811972565
-
- Anesthesiology Physician
- Oro Valley, AZ
- NPI 1902986078
-
- Anesthesiology Physician
- Chandler, AZ
- NPI 1508187097
-
- Clinical Cardiac Electrophysiology Physician
- Peoria, AZ
- NPI 1104984491
Internal Medicine
-
- Women's Health Nurse Practitioner
- Kingman, AZ
- NPI 1871182246
-
- Orthopaedic Surgery Physician
- Lake Havasu City, AZ
- NPI 1083980585
Family Medicine
-
- Certified Registered Nurse Anesthetist
- Bullhead City, AZ
- NPI 1336917319
-
- Pediatric Nurse Practitioner
- Kingman, AZ
- NPI 1124271598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1689897787",
"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": "928-263-4722",
"fax_number": "928-263-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 E BEVERLY AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093593",
"telephone_number": "928-263-4547",
"fax_number": "928-263-4794"
}
],
"practiceLocations": [
{
"address_1": "2226 Hualapai Mountain Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Kingman",
"state": "AZ",
"postal_code": "864018374",
"country_code": "US",
"telephone_number": "928-681-8742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4995 US Highway 68 Ste 1",
"address_purpose": "LOCATION",
"city": "Golden Valley",
"state": "AZ",
"postal_code": "864135500",
"country_code": "US",
"telephone_number": "928-681-8500",
"fax_number": "928-565-4140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2202 N Stockton Hill Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Kingman",
"state": "AZ",
"postal_code": "864014622",
"country_code": "US",
"telephone_number": "928-681-8706",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3801 Santa Rosa Dr",
"address_purpose": "LOCATION",
"city": "Kingman",
"state": "AZ",
"postal_code": "864012311",
"country_code": "US",
"telephone_number": "928-681-8701",
"fax_number": "928-681-8702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KINGMAN HEALTHCARE, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KINGMAN HEALTHCARE, INC",
"enumeration_date": "2007-04-10",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"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": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "399256",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kingman Hospital, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Kingman, AZ
- Kingman General Surgery PC
- Kingman Healthcare, Inc (Kingman Regional Medical Center Home Health)
- Kingman Healthcare, Inc (Kingman Regional Medical Center - Hualapai Mountain Campus)
- Kingman Healthcare, Inc (Kingman Regional Medical Center)
- Kingman Healthcare, Inc (Kingman Regional Medical Center Hospice)
- Kingman Healthcare, Inc (KRMC Urgent Care)
- Kingman Healthcare, Inc (KRMC Community Pharmacy)
- Kingman Hometown Pharmacy LLC (Kingman Hometown Pharmacy)
- Kingman Hospital Inc
- Kingman Kidney Clinic Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.