Central Little Rock Dialysis
LBN: Dva Renal Healthcare Inc
Central Little Rock Dialysis is an health care organization with primary practice located at 6 Freeway Dr Ste 100, Little Rock AR 72204-2486. 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.
Dva Renal Healthcare Inc can be contacted via phone (501) 664-6754, or through Wey, Samuel T via phone (615) 341-6641.
Contact Information
Primary practice address
6 Freeway Dr Ste 100
Little Rock AR 72204-2486
Phone: (501) 664-6754
Fax: (501) 296-9942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1376516039 |
|---|---|
| LBN Legal business name | Dva Renal Healthcare Inc |
| DBA Doing business as | Central Little Rock Dialysis |
| Authorized official | Wey, Samuel T AO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Oct 9th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376516039 | NPPES |
| Louisiana | MEDICAID | 1501611 | |
| Louisiana | MEDICAID | 02529000 | |
| Louisiana | MEDICAID | 503272502 | |
| Louisiana | MEDICAID | 150329734 | |
| Louisiana | MEDICAID | 0042571 | |
| Louisiana | MEDICAID | 02520061 |
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