Healthcare Provider Details

I. General information

NPI: 1427966191
Provider Name (Legal Business Name): MONSOON COMMUNITY HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 HUALAPAI MOUNTAIN RD STE E
KINGMAN AZ
86401-5445
US

IV. Provider business mailing address

889 S DESERT CANYON WAY
KINGMAN AZ
86401
US

V. Phone/Fax

Practice location:
  • Phone: 928-897-3813
  • Fax:
Mailing address:
  • Phone: 480-897-3813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERNEST S MONSON
Title or Position: OWNER/PROVIDER
Credential: FNP
Phone: 928-897-3813