CCN: 030055 NPI: 1265423917 Organization

KINGMAN REGIONAL MEDICAL CENTER

3269 N STOCKTON HILL RD
KINGMAN, AZ 864093619

Contact Information

Phone 9286818655
Fax 9282633599
Enumeration Date 2005-11-02
Last Updated 2020-07-02

Taxonomies

Code: 251E00000X License State: AZ License: HHA0059
Code: 251G00000X License State: AZ License: SPC3040
Code: 293D00000X License State: AZ License: 137455
Code: 282N00000X (Primary) License State: AZ License: H0010

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.161

medicaidRatio 0.2248

uncompensatedCareAmount 416.12

internsToBedsRatio 0.0989

vbpAdjustment 1.0129571792

hhrAdjustment 0.9985

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.149

medicaidRatio 0.2261

uncompensatedCareAmount 416.12

internsToBedsRatio 0.0989

vbpAdjustment 1.0129571792

hhrAdjustment 0.9985

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.149

medicaidRatio 0.2261

uncompensatedCareAmount 257.71

internsToBedsRatio 0.0989

vbpAdjustment 1.0227349191

hhrAdjustment 0.9983

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.149

medicaidRatio 0.2261

uncompensatedCareAmount 257.71

internsToBedsRatio 0.0989

vbpAdjustment 1.0227349191

hhrAdjustment 0.9983

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.175

medicaidRatio 0.2406

uncompensatedCareAmount 257.71

internsToBedsRatio 0.102

vbpAdjustment 1.0227349191

hhrAdjustment 0.9983

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.175

medicaidRatio 0.2406

uncompensatedCareAmount 333.71

internsToBedsRatio 0.102

vbpAdjustment 1.0174876453

hhrAdjustment 0.9962

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.175

medicaidRatio 0.2406

uncompensatedCareAmount 333.71

internsToBedsRatio 0.102

vbpAdjustment 1.0174876453

hhrAdjustment 0.9962

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.161

medicaidRatio 0.2191

uncompensatedCareAmount 333.71

internsToBedsRatio 0.0991

vbpAdjustment 1.0174876453

hhrAdjustment 0.9962

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.161

medicaidRatio 0.2191

uncompensatedCareAmount 337.55

internsToBedsRatio 0.0991

hhrAdjustment 0.9977

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.165

medicaidRatio 0.2035

uncompensatedCareAmount 337.55

internsToBedsRatio 0.0991

hhrAdjustment 0.9977

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.165

medicaidRatio 0.2035

uncompensatedCareAmount 337.55

internsToBedsRatio 0.0991

hhrAdjustment 0.9977

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.165

medicaidRatio 0.2035

uncompensatedCareAmount 337.55

internsToBedsRatio 0.0991

hhrAdjustment 0.9977

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.165

medicaidRatio 0.2035

uncompensatedCareAmount 437.39

internsToBedsRatio 0.0991

hhrAdjustment 0.9944

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.181

medicaidRatio 0.2394

uncompensatedCareAmount 437.39

internsToBedsRatio 0.0991

hhrAdjustment 0.9944

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.181

medicaidRatio 0.2394

uncompensatedCareAmount 437.39

internsToBedsRatio 0.0991

hhrAdjustment 0.9944

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.181

medicaidRatio 0.2394

uncompensatedCareAmount 437.39

internsToBedsRatio 0.0991

hhrAdjustment 0.9944

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.181

medicaidRatio 0.2394

uncompensatedCareAmount 468.44

internsToBedsRatio 0.0991

vbpAdjustment 1.010473074

hhrAdjustment 0.9877

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.178

medicaidRatio 0.2494

uncompensatedCareAmount 468.44

internsToBedsRatio 0.0981

vbpAdjustment 1.010473074

hhrAdjustment 0.9877

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.178

medicaidRatio 0.2494

uncompensatedCareAmount 659.6

internsToBedsRatio 0.0981

vbpAdjustment 1.0075236933

hhrAdjustment 0.9774

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.167

medicaidRatio 0.2121

uncompensatedCareAmount 659.6

internsToBedsRatio 0.0981

vbpAdjustment 1.0075236933

hhrAdjustment 0.9774

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.167

medicaidRatio 0.2121

uncompensatedCareAmount 659.6

internsToBedsRatio 0.0981

vbpAdjustment 1.0075236933

hhrAdjustment 0.9774

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.177

medicaidRatio 0.2262

uncompensatedCareAmount 659.6

internsToBedsRatio 0.0981

vbpAdjustment 1.0075236933

hhrAdjustment 0.9774

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.177

medicaidRatio 0.2262

uncompensatedCareAmount 629.9

internsToBedsRatio 0.0981

vbpAdjustment 0.9983456357

hhrAdjustment 0.977

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.177

medicaidRatio 0.2262

uncompensatedCareAmount 629.9

internsToBedsRatio 0.0981

vbpAdjustment 0.9983456357

hhrAdjustment 0.977

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.177

medicaidRatio 0.2262

uncompensatedCareAmount 629.9

internsToBedsRatio 0.0981

vbpAdjustment 0.9983456357

hhrAdjustment 0.977

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.185

medicaidRatio 0.2283

uncompensatedCareAmount 629.9

internsToBedsRatio 0.0898

vbpAdjustment 0.9983456357

hhrAdjustment 0.977

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.185

medicaidRatio 0.2283

uncompensatedCareAmount 470.66

internsToBedsRatio 0.0898

vbpAdjustment 0.998364004

hhrAdjustment 0.9778

censusDivision 8

cbsaActualGeographicLocation 29420

providerType 17

caseMixIndex 1.0957

operatingCostToChargeRatio 0.185

medicaidRatio 0.2283

uncompensatedCareAmount 470.66

internsToBedsRatio 0.0898

vbpAdjustment 0.998364004

hhrAdjustment 0.9778

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.459

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.104

deviceCostToChargeRatio 0.168

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.104

deviceCostToChargeRatio 0.168

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.369

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.369

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.403

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.403

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.255

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.255

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.126

deviceCostToChargeRatio 0.248

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.126

deviceCostToChargeRatio 0.248

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.126

deviceCostToChargeRatio 0.239

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.126

deviceCostToChargeRatio 0.239

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.261

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.261

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.138

deviceCostToChargeRatio 0.193

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.138

deviceCostToChargeRatio 0.193

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 29420

providerType 17

operatingCostToChargeRatio 0.147

deviceCostToChargeRatio 0.194

specialPaymentIndicator Y

costOfLivingAdjustment 0.947

carrierCode 03102

localityCode 00

KINGMAN REGIONAL MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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