South Little Rock Dialysis

LBN: Renal Treatment Centers-Southeast, Lp.
South Little Rock Dialysis is an health care organization with primary practice located at 6115 Baseline Rd Ste 100, Little Rock AR 72209-4725. 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. Renal Treatment Centers-Southeast, Lp. can be contacted via phone (501) 570-0543, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
6115 Baseline Rd Ste 100 Little Rock AR 72209-4725
Phone: (501) 570-0543
Fax: (501) 570-0738
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1396178471
LBN Legal business name Renal Treatment Centers-Southeast, Lp.
DBA Doing business as South Little Rock Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2013
Last updated Dec 11th, 2023 - about 2 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 1396178471 NPPES
Arkansas MEDICAID 208041134

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