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SCH030055-00 Kingman Regional Medical Center (Active)
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Main Details
Name
Kingman Regional Medical Center
Subdivision Name
Type
Sole Community Hospital
Rural
No
340B ID
SCH030055-00
Medicare Provider Number
030055
Additional Details
Current Program Status
Active
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/13/2013
Last Recertification Date
9/11/2024
Contacts
Authorizing Official
kingman regional medical center
Joshua Hoffman, Chief Financial Officer
(928) 263-3087
Primary Contact
Kingman Regional Medical Center
Michael Todd Moore, Informatics Pharmacist
(928) 263-4884
Addresses
Street Address
3269 Stockton Hill Road
Kingman, AZ 86409
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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