Organization · Type 2 NPI
Renal Center of Mountain Home LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mountain Home, AR
NPI number
1629015979
Active
Practice location
200 E 8th St Ste 101
Mountain Home, AR 72653-4402
Fax (870) 508-6550
Mailing address
5200 Virginia Way, Att: L&c Department
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...
About NPI 1629015979
Renal Center of Mountain Home LLC's National Provider Identifier is 1629015979, issued on Jun 2, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mountain Home, AR. The record was last updated on Mar 30, 2026.