Little Rock Dialysis, Inc. in Benton - End-stage Renal Disease (esrd) Treatment
Little Rock Dialysis, Inc. - NPI 1720190622
Little Rock Dialysis, Inc. is a End-stage Renal Disease (esrd) Treatment in Benton, Arkansas. Little Rock Dialysis, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Little Rock Dialysis, Inc. is 1720190622. The last update date is 2023-10-16.
Little Rock Dialysis, Inc.'s current location address is 2101 Congo Rd, Benton, Arkansas. You can contact this provider via phone number 5017761418 and fax number 5017761466. The mailing address for Little Rock Dialysis, Inc. is 2101 Congo Rd, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Little Rock Dialysis, Inc. |
|---|---|
| Address | 2101 Congo Rd, Benton, Arkansas |
| Phone Number | 5017761418 |
| Fax Number | 5017761466 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blanton L. Barry |
| Telephone Number | 7816999000 |
NPI Number Detail
| NPI Number | 1720190622 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2023-10-16 |
Provider Mailing Address Detail
| Address | 2101 Congo Rd |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720152750 |
| Phone Number | 5017761418 |
| Fax Number | 5017761466 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the unique identification code assigned to Little Rock Dialysis, Inc. by the Centers for Medicare & Medicaid Services?
The Little Rock Dialysis, Inc. has been issued the NPI (National Provider Identifier) 1720190622. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Little Rock Dialysis, Inc.?
The Little Rock Dialysis, Inc. is situated at 2101 Congo Rd, in the city of Benton, state of AR, with the zip code 720152750.
What is the Little Rock Dialysis, Inc.'s specialty and taxonomy code?
The Little Rock Dialysis, Inc.'s specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did Little Rock Dialysis, Inc. receive its 1720190622 assignment from the Centers for Medicare & Medicaid Services?
The Little Rock Dialysis, Inc. was assigned its 1720190622 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Little Rock Dialysis, Inc. most recently updated or refreshed?
The details pertaining to the Little Rock Dialysis, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-16.
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