Malvern Kidney Center

LBN: Arkansas Nephrology Services, Ltd.
Malvern Kidney Center is an health care organization with primary practice located at 1590 Tanner St , Rockport AR 72104-2023. 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. Arkansas Nephrology Services, Ltd. can be contacted via phone (501) 332-3000, or through Ligon, Donette via phone (501) 624-6000.

Contact Information

Primary practice address
1590 Tanner St Rockport AR 72104-2023
Phone: (501) 332-3000
Fax: (501) 332-5858
Website:
Map and Directions
Authorized official contact:
Name: Ligon, Donette
Phone: (501) 624-6000

Health care specialties

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

Profile Details

NPI number 1801861109
LBN Legal business name Arkansas Nephrology Services, Ltd.
DBA Doing business as Malvern Kidney Center
Authorized official Ligon, Donette
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 13th, 2012 - about 14 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 1801861109 NPPES
Arkansas MEDICAID 150580734

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