South Arkansas Nephrology Services

LBN: Arkansas Renal Group Pa
South Arkansas Nephrology Services is an health care organization with primary practice located at 620 W Grove St , El Dorado AR 71730-4462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Arkansas Renal Group Pa can be contacted via phone (870) 862-0801, or through Edgin, Jerry P via phone (501) 624-6000.

Contact Information

Primary practice address
620 W Grove St El Dorado AR 71730-4462
Phone: (870) 862-0801
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edgin, Jerry P
Phone: (501) 624-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1134404130
LBN Legal business name Arkansas Renal Group Pa
DBA Doing business as South Arkansas Nephrology Services
Authorized official Edgin, Jerry P
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2011
Last updated Jul 27th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134404130 NPPES
Arkansas MEDICAID 190999002

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