Jacksonville Dialysis Center

LBN: Arkansas Renal Systems, Inc.
Jacksonville Dialysis Center is an health care organization with primary practice located at 202 John Harden Dr , Jacksonville AR 72076-3775. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Arkansas Renal Systems, Inc. can be contacted via phone (501) 982-2224, or through Stanley, William via phone (501) 663-0490.

Contact Information

Primary practice address
202 John Harden Dr Jacksonville AR 72076-3775
Phone: (501) 982-2224
Fax: (501) 982-4220
Website:
Map and Directions
Authorized official contact:
Name: Stanley, William
Phone: (501) 663-0490

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1720079692
LBN Legal business name Arkansas Renal Systems, Inc.
DBA Doing business as Jacksonville Dialysis Center
Authorized official Stanley, William
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Jun 11th, 2008 - about 16 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 1720079692 NPPES
Arkansas MEDICAID 126820134
Arkansas Other 12535

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