Southwest Arkansas Dialysis Unit

LBN: Collom & Carney Clinic Association
Southwest Arkansas Dialysis Unit is an health care organization with primary practice located at 225 N. Dudney Rd , Magnolia AR 71753-3110. 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. Collom & Carney Clinic Association can be contacted via phone (903) 614-3600, or through Roberts, Pat via phone (903) 614-3601.

Contact Information

Primary practice address
225 N. Dudney Rd Magnolia AR 71753-3110
Phone: (903) 614-3600
Fax: (903) 792-0951
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Pat
Phone: (903) 614-3601

Health care specialties

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

Profile Details

NPI number 1134101108
LBN Legal business name Collom & Carney Clinic Association
DBA Doing business as Southwest Arkansas Dialysis Unit
Authorized official Roberts, Pat
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Mar 23rd, 2010 - about 16 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 1134101108 NPPES
Arkansas MEDICAID 132402734

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