Jacksonville Central Dialysis Center

LBN: Little Rock Dialysis Centers Llc
Jacksonville Central Dialysis Center is an health care organization with primary practice located at 400 T P White Dr , Jacksonville AR 72076-3287. 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. Little Rock Dialysis Centers Llc can be contacted via phone (501) 241-1300, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
400 T P White Dr Jacksonville AR 72076-3287
Phone: (501) 241-1300
Fax: (501) 985-1344
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1982822631
LBN Legal business name Little Rock Dialysis Centers Llc
DBA Doing business as Jacksonville Central Dialysis Center
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Jun 14th, 2024 - about 2 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 1982822631 NPPES
Arkansas MEDICAID 167213134

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