Northeast Arkansas Clinic, P.A. in Jonesboro - End-stage Renal Disease (esrd) Treatment
Northeast Arkansas Clinic, P.A. - NPI 1851352991
Northeast Arkansas Clinic, P.A. is a End-stage Renal Disease (esrd) Treatment in Jonesboro, Arkansas. Northeast Arkansas Clinic, P.A. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Northeast Arkansas Clinic, P.A. is 1851352991. The last update date is 2007-08-28.
Northeast Arkansas Clinic, P.A.'s current location address is 3005 Middlefield Dr, Jonesboro, Arkansas. You can contact this provider via phone number 8709345705 and fax number 8709721695. The mailing address for Northeast Arkansas Clinic, P.A. is 3005 Middlefield Dr, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Arkansas Clinic, P.A. |
|---|---|
| Address | 3005 Middlefield Dr, Jonesboro, Arkansas |
| Phone Number | 8709345705 |
| Fax Number | 8709721695 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR C |
|---|---|
| Authorized Official Name | Haynes Rodney |
| Telephone Number | 8709345803 |
NPI Number Detail
| NPI Number | 1851352991 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 3005 Middlefield Dr |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724017438 |
| Phone Number | 8709345705 |
| Fax Number | 8709721695 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | MC-2122 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Northeast Arkansas Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The Northeast Arkansas Clinic, P.A. has been issued the NPI (National Provider Identifier) 1851352991 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Northeast Arkansas Clinic, P.A.'s physical address?
The Northeast Arkansas Clinic, P.A. is physically located at 3005 Middlefield Dr, in the city of Jonesboro, AR, with the postal code 724017438.
What is Northeast Arkansas Clinic, P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Northeast Arkansas Clinic, P.A. is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date did Northeast Arkansas Clinic, P.A. receive its 1851352991 assignment from the Centers for Medicare & Medicaid Services?
The Northeast Arkansas Clinic, P.A. was assigned its 1851352991 on 2006-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Northeast Arkansas Clinic, P.A.'s information last updated?
The Northeast Arkansas Clinic, P.A.'s information was last updated on 2007-08-28.