Organization · Type 2 NPI

Fort Smith Regional Dialysis Center, LLC

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

NPI number 1760092597 Active

Practice location

256 Northridge Drive E
Van Buren, AR 72956

Call (479) 755-6754 Map

Fax (479) 755-6849

Mailing address

PO Box 181210
Fort Smith, AR 72918-1210

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: 1760092597
Entity type: Organization (Type 2)
Issued: Aug 6, 2020
Last updated: Aug 6, 2020
Status: Active
Subpart: Yes of Fort Smith Regional Dialysis Center, LLC

Other names

Van Buren Dialysis Center · doing business as

Authorized official

Laura Anne Palmer
Executive Director
(479) 755-6750

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About NPI 1760092597

Fort Smith Regional Dialysis Center, LLC's National Provider Identifier is 1760092597, issued on Aug 6, 2020. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Van Buren, AR. The record was last updated on Aug 6, 2020.