<Unavail>

LBN: Kingman No 1 Llc
<Unavail> is an health care organization with primary practice located at 1081 Kathleen Ave , Kingman AZ 86401-3918. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Kingman No 1 Llc can be contacted via phone (928) 753-5580, or through Shirrell, Cliff via phone (573) 471-1276.

Contact Information

Primary practice address
1081 Kathleen Ave Kingman AZ 86401-3918
Phone: (928) 753-5580
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shirrell, Cliff
Phone: (573) 471-1276

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI306 Arizona

Profile Details

NPI number 1184656175
LBN Legal business name Kingman No 1 Llc
DBA Doing business as <Unavail>
Authorized official Shirrell, Cliff
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 3rd, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184656175 NPPES
Arizona MEDICAID 633182

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