Kingman Hospital Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

KINGMAN HOSPITAL INC

Practice address

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Phone

(928) 757-0626

NPI assigned

Apr 12, 2017

Last updated

Apr 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chauntelle Vidinha, D.O.

Title

Osteopathic Physician

Phone

(808) 391-6493

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1710411202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 E LAKEVIEW AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096635",
            "telephone_number": "808-391-6493"
        },
        {
            "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": "928-757-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGMAN HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "VIDINHA",
        "authorized_official_first_name": "CHAUNTELLE",
        "authorized_official_title_or_position": "OSTEOPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "808-391-6493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingman Healthcare, Inc (Kingman Regional Medical Center Hospice)
• Kingman Healthcare, Inc
• Kingman Healthcare, Inc (KRMC Urgent Care)
• Kingman Healthcare, Inc (KRMC Community Pharmacy)
• Kingman Hometown Pharmacy LLC (Kingman Hometown Pharmacy)
• Kingman Kidney Clinic Inc.
• Kingman Neurology
• Kingman No 1 LLC (Desert Highlands Care Center)
• Kingman Oncology Institute LLC
• Kingman Pulmonary Associates, LLC

• General Acute Care Hospital in Kingman, AZ
• Providers in Kingman, AZ by specialty
• General Acute Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.