Organization Active NPI

Kingman Healthcare, Inc

  • Specialist
  • Kingman, AZ
National Provider Identifier
1689897787
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KINGMAN HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 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 14

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
399256MedicaidAZ

Other names 1

  • Kingman Hospital, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

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
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.

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.

View all 391

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

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.

Verify at the official NPI Registry.