Organization · Type 2 NPI

Renal Treatment Centers-Southeast, Lp.

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

NPI number 1396178471 Active

Practice location

6115 Baseline Rd, Ste 100
Little Rock, AR 72209-4725

Call (501) 570-0543 Map

Fax (501) 570-0738

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...

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NPI record

NPI: 1396178471
Entity type: Organization (Type 2)
Issued: Aug 13, 2013
Last updated: Oct 6, 2026
Status: Active

Other names

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South Little Rock Dialysis · doing business as
South Little Rock Dialysis · doing business as

Authorized official

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

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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 1396178471

Renal Treatment Centers-Southeast, Lp.'s National Provider Identifier is 1396178471, issued on Aug 13, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Little Rock, AR. The record was last updated on Oct 6, 2026.