Bradley County Dialysis

LBN: Renal Treatment Centers-Southeast, Lp.
Bradley County Dialysis is an health care organization with primary practice located at 204 Bragg St , Warren AR 71671-2500. 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. Renal Treatment Centers-Southeast, Lp. can be contacted via phone (870) 226-7180, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
204 Bragg St Warren AR 71671-2500
Phone: (870) 226-7180
Fax: (870) 226-2488
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1194069617
LBN Legal business name Renal Treatment Centers-Southeast, Lp.
DBA Doing business as Bradley County Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2012
Last updated Jan 17th, 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 1194069617 NPPES
Arkansas MEDICAID 200362134

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