WESTSIDE DIALYSIS UNIT LLC – NPI #1619274735
Clinic/Center

WESTSIDE DIALYSIS UNIT LLC is an AHC clinic located in LITTLE ROCK, AR. NPPES has assigned the NPI number 1619274735 to WESTSIDE DIALYSIS UNIT LLC on February 25, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESTSIDE DIALYSIS UNIT LLC below.

NPI Profile for
WESTSIDE DIALYSIS UNIT LLC

NPI Number
1619274735
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WESTSIDE DIALYSIS UNIT LLC
Primary location
1515 KANIS PARK DR
SUITE A
LITTLE ROCK, AR 72205-4569
Phone: (501) 603-9277 Fax: (501) 603-9877
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MOSES EJIOFOR
PHYSICIAN
Phone: (501) 603-9277
Updated
Certification Date
Jun 24, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WESTSIDE DIALYSIS UNIT LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR211230134
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)		 AR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.