Fort Smith Regional Dialysis Center, LLC

NPI #1760092597 in Van Buren, Arkansas

Provider Information

NPI Number
1760092597
Entity Type
Organization
Organization Name
Fort Smith Regional Dialysis Center, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FORT SMITH REGIONAL DIALYSIS CENTER, LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Aug 6, 2020
Last Updated
Aug 6, 2020

Practice Location

Address
256 NORTHRIDGE DRIVE E
ZIP Code
72956
Phone
(479) 755-6754

Authorized Official

Name
LAURA ANNE PALMER
Title
EXECUTIVE DIRECTOR
Phone
(479) 755-6750

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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