Diamond State Dialysis

LBN: Matheson Dialysis Llc
Diamond State Dialysis is an health care organization with primary practice located at 9022 Landers Rd Ste E , North Little Rock AR 72117-1599. 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. Matheson Dialysis Llc can be contacted via phone (501) 834-1449, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
9022 Landers Rd Ste E North Little Rock AR 72117-1599
Phone: (501) 834-1449
Fax: (501) 834-1450
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1588102610
LBN Legal business name Matheson Dialysis Llc
DBA Doing business as Diamond State Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2017
Last updated Aug 13th, 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 1588102610 NPPES
Arkansas MEDICAID 229436134

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