Fort Smith Regional Dialysis Center, LLC

NPI #1912900044 in Poteau, Oklahoma

Provider Information

NPI Number: 1912900044
Entity Type: Organization
Organization Name: Fort Smith Regional Dialysis Center, LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: May 23, 2005
Last Updated: Jun 13, 2012

Practice Location

Address: 1200 CENTRAL ST
City: Poteau
State: Oklahoma
ZIP Code: 74953-2320
Phone: (918) 647-9373

Authorized Official

Name: LAURA PALMER
Title: EXECUTIVE DIRECTOR
Phone: (479) 755-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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