DIALYSIS CENTERS OF ARKANSAS, PA – NPI #1710075056
Clinic/Center

DIALYSIS CENTERS OF ARKANSAS, PA is an AHC clinic located in NORTH LITTLE ROCK, AR. NPPES has assigned the NPI number 1710075056 to DIALYSIS CENTERS OF ARKANSAS, PA on October 11, 2006. 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 6 years ago on Aug 22, 2020. 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 DIALYSIS CENTERS OF ARKANSAS, PA below.

NPI Profile for
DIALYSIS CENTERS OF ARKANSAS, PA

NPI Number
1710075056
Enumeration Date

(more than 19 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
DIALYSIS CENTERS OF ARKANSAS, PA
Primary location
4509 E MCCAIN BLVD
NORTH LITTLE ROCK, AR 72117-2902
Phone: (501) 945-8080 Fax: (501) 945-5040
Mailing address
4509 EAST MCCAIN BLDV.
NORTH LITTLE ROCK, AR 72117
Phone: (501) 945-8080 Fax: (501) 945-5040
Organization Subpart
No
Authorized Official
RONALD EDGERTON
ADMINISTRATOR
Phone: (501) 955-1156
Updated
Identifiers

Identifiers for DIALYSIS CENTERS OF ARKANSAS, PA

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
OTHERMEDICARE FACILITY NUMBERARE042559
OTHERMEDICARE FACILITY NUMBERARE042548
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 MC2029

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.