Fort Smith Regional Dialysis Center Llc
LBN: Fort Smith Regional Dialysis Center Llc
Fort Smith Regional Dialysis Center Llc is an health care organization with primary practice located at 2201 Brooken Hill Dr , Fort Smith AR 72908-8611. 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.
Fort Smith Regional Dialysis Center Llc can be contacted via phone (479) 755-6700, or through Palmer, Laura via phone (479) 755-6750.
Contact Information
Primary practice address
2201 Brooken Hill Dr
Fort Smith AR 72908-8611
Phone: (479) 755-6700
Fax: (479) 755-6704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | Arkansas |
Profile Details
| NPI number | 1871596916 |
|---|---|
| LBN Legal business name | Fort Smith Regional Dialysis Center Llc |
| DBA Doing business as | |
| Authorized official | Palmer, Laura |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jun 13th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871596916 | NPPES |
| Arkansas | MEDICAID | 134859734 | |
| Arkansas | MEDICAID | 140066002 | |
| Arkansas | Other | 12501 | |
| Arkansas | MEDICAID | 100728340A |
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