Dialysis Centers Of Arkansas, Pa in North Little Rock - End-stage Renal Disease (esrd) Treatment
Dialysis Centers Of Arkansas, Pa - NPI 1710075056
Dialysis Centers Of Arkansas, Pa is a End-stage Renal Disease (esrd) Treatment in North Little Rock, Arkansas. Dialysis Centers Of Arkansas, Pa practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dialysis Centers Of Arkansas, Pa is 1710075056. The last update date is 2020-08-22.
Dialysis Centers Of Arkansas, Pa's current location address is 4509 East Mccain Bldv., North Little Rock, Arkansas. You can contact this provider via phone number 5019458080 and fax number 5019455040. The mailing address for Dialysis Centers Of Arkansas, Pa is 4509 East Mccain Bldv., North Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Centers Of Arkansas, Pa |
|---|---|
| Address | 4509 East Mccain Bldv., North Little Rock, Arkansas |
| Phone Number | 5019458080 |
| Fax Number | 5019455040 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Edgerton Edward Ronald |
| Telephone Number | 5019551156 |
NPI Number Detail
| NPI Number | 1710075056 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4509 East Mccain Bldv. |
|---|---|
| City | North Little Rock |
| State | Arkansas (AR) |
| Post Code | 72117 |
| Phone Number | 5019458080 |
| Fax Number | 5019455040 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | MC2029 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| E042548 | AR | MEDICARE FACILITY NUMBER | |
| E042559 | AR | MEDICARE FACILITY NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Dialysis Centers Of Arkansas, Pa by the Centers for Medicare & Medicaid Services?
The Dialysis Centers Of Arkansas, Pa has been assigned the NPI (National Provider Identifier) 1710075056. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dialysis Centers Of Arkansas, Pa's facilities are geographically located?
The facilities of Dialysis Centers Of Arkansas, Pa are physically situated at the following location: 4509 East Mccain Bldv., North Little Rock, AR, 72117.
What is the Dialysis Centers Of Arkansas, Pa's specialty and taxonomy code?
The Dialysis Centers Of Arkansas, Pa's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Dialysis Centers Of Arkansas, Pa receive the assignment of its 1710075056 from the Centers for Medicare & Medicaid Services?
The Dialysis Centers Of Arkansas, Pa was issued its 1710075056 by the Centers for Medicare & Medicaid Services on 2006-10-11.
As of what date were the details pertaining to Dialysis Centers Of Arkansas, Pa last refreshed?
The information related to the Dialysis Centers Of Arkansas, Pa, including its address, specialty, and other relevant details, was last updated on 2020-08-22.