Organization · Type 2 NPI
Fort Smith Regional Dialysis Center, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Poteau, OK
NPI number
1912900044
Active
Practice location
1200 Central St
Poteau, OK 74953-2320
Mailing address
2201 Brooken Hill Dr
Fort Smith, AR 72908-8611
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 1912900044
Fort Smith Regional Dialysis Center, LLC's National Provider Identifier is 1912900044, issued on May 23, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Poteau, OK. The record was last updated on Jun 13, 2012.