Organization · Type 2 NPI

Isd Renal Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Marion, AR

NPI number 1003861642 Active

Practice location

1120 State Highway 77 Ste 2
Marion, AR 72364-9046

Call (870) 735-4087 Map

Fax (870) 735-4062

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1003861642
Entity type: Organization (Type 2)
Issued: May 23, 2006
Last updated: Jan 23, 2025
Status: Active

Other names

<unavail>
Renal Care of Marion · doing business as
Renal Care of Marion · doing business as

Authorized official

Samuel T. Wey
VP, Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003861642

Isd Renal Inc's National Provider Identifier is 1003861642, issued on May 23, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Marion, AR. The record was last updated on Jan 23, 2025.