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HICKORY BEHAVIORAL CENTER AT KINGMAN
NPI 1275375891
Substance Abuse Rehabilitation Facility in Kingman, AZ

Active since June 12, 2024
1031 DETROIT AVE, KINGMAN, AZ 86401(314) 971-1631 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2024, Jun 12, 2024 (2 updates tracked since 2024).

About Hickory Behavioral Center At Kingman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HICKORY BEHAVIORAL CENTER AT KINGMAN (NPI 1275375891) is a healthcare organization registered as a substance abuse rehabilitation facility in Kingman, Arizona and active in the NPI registry since June 2024. The organization lists Shannon D Howard, Chief Reimbursement Officer, as its authorized official.

NPPES Registry Identity

NPI1275375891
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameKINGMAN BEHAVIORAL HEALTH LLC
Location Address1031 DETROIT AVEKingman, AZ 86401-6811
Mailing Address3960 Southeastern AveIndianapolis, IN 46203-1500
Phone(314) 971-1631
Organization SubpartNo
Authorized OfficialShannon D HowardChief Reimbursement Officer · (314) 971-1631
Enumeration DateJune 12, 2024
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1275375891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1031 DETROIT AVE, Kingman, AZ 86401
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Other Names 1

Doing Business AsHickory Behavioral Center At Kingman

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELENE HERT COTA/L
Occupational Therapy Assistant
1031 DETROIT AVE
KINGMAN, AZ 86401
Mohave County (928) 753-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingman Behavioral Health LLC's NPI number?

The NPI number for Kingman Behavioral Health LLC is 1275375891. It was assigned to this organization in the NPPES registry on June 12, 2024. The provider is doing business as Hickory Behavioral Center At Kingman.

Where is Kingman Behavioral Health LLC located?

Kingman Behavioral Health LLC is located at 1031 Detroit Ave, Kingman, AZ 86401. The listed phone number is (314) 971-1631.

What is Kingman Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Kingman Behavioral Health LLC was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.