DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC (NPI# 1437236908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437236908 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC |
| Other Organization Name | DIALYSIS CENTER OF SILOAM SPRINGS |
| Practice Address |
2125 E Main St Suite 11 & 12 Siloam Springs AR 72761-5571 |
| Mailing Address |
107 E Monte Painter Dr Fayetteville AR 72703-4002 |
| Practice Telephone | 4795245214 |
| Mailing Telephone | 4795245214 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | MR. ROBERT BOMSTAD (ADMINISTRATOR) |
| Authorized Official Telephone | 4794637000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dialysis Center of Siloam Springs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336220250 | Dialysis Centers of Northwest Arkansas, LLC | Clinic/Center | 801 Se Plaza Ave, Suite 1, Bentonville, AR 72712-7772 | 2006-10-18 |
| 1477027795 | Dialysis Centers of Northwest Arkansas, LLC | Clinic/Center | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 | 2019-01-21 |
| 1104369297 | Dialysis Centers of Northwest Arkansas, LLC | Clinic/Center | 3000 Nw A St, Bentonville, AR 72712-3985 | 2016-11-22 |
| Street Address |
2125 E MAIN ST SUITE 11 & 12 |
| City | SILOAM SPRINGS |
| State | AR |
| Zip Code | 72761-5571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023096542 | Mark Steven Dean | Chiropractor | 2125 E Main St, Suite 4, Siloam Springs, AR 72761-5571 | 2006-01-04 |
| 1831621309 | Ozark Pediatric Dentistry | Dentist | 2125 E Main St, Suite #13, Siloam Springs, AR 72761-5571 | 2017-04-03 |
| 1134454929 | Dean Chiropractic & Acupuncture Inc | Chiropractor | 2125 E Main St, Suite 4, Siloam Springs, AR 72761-5571 | 2009-10-12 |
| 1174582407 | Rebecca C Lewis | Family Medicine | 2125 E Main St, Ste. 10, Siloam Springs, AR 72761-5571 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1861058547 | Oyenike Adigun-awonaike | Nurse Practitioner | 3271, Hwy 412, Siloam Springs, AR 72761 | 2019-05-17 |
| 1811551989 | Natasha Victoria Clayton | Registered Nurse | 3721 U.S. 412 Hwy, Siloam Springs, AR 72761 | 2019-04-24 |
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1689120222 | Wesley Phillip Horton | Speech-Language Pathologist | 501 W Elgin St, Siloam Springs, AR 72761 | 2016-09-01 |
| 1407216138 | Amy Bassarear | Social Worker | 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761 | 2016-02-23 |
| 1033584073 | Siloam Springs Clinic Company, LLC | Clinic/Center | 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 | 2015-12-02 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1508258021 | Lifebridge Ar Counseling | Counselor | 301 East Ashley St., Siloam Springs, AR 72761 | 2015-02-20 |
| 1902176472 | Meghan Daley | Occupational Therapist | 918 South Mt Olive, Siloam Springs, AR 72761 | 2011-12-30 |
| Find all providers in zip 72761 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245418144 | Total Renal Care Inc | Clinic/Center | 500 S Mount Olive St, Ste 107, Siloam Springs, AR 72761-3602 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1073010518 | Toltec Dialysis LLC | Clinic/Center | 2630 Donaghey Ave, Conway, AR 72032-0000 | 2018-04-11 |
| 1588102610 | Matheson Dialysis LLC | Clinic/Center | 9022 Landers Rd Ste E, North Little Rock, AR 72117-1599 | 2017-02-09 |
| 1871031211 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 115 E Peddicord St, Dermott, AR 71638-2314 | 2017-02-06 |
| 1821455494 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 505 Saint Mary St, Lake Village, AR 71653-1722 | 2016-01-27 |
| 1912399601 | Ozark Dialysis LLC | Clinic/Center | 404 Camp Rd, Pocahontas, AR 72455-1487 | 2015-03-04 |
| 1447640917 | Fidelity Home Dialysis Corporation | Clinic/Center | 9421 W Markham St, Little Rock, AR 72205-2240 | 2015-02-04 |
| 1386053296 | Arkansas Staff Assisted Hemodialysis,inc | Clinic/Center | 321 Terry Pond Cv, White Hall, AR 71602-8212 | 2014-08-05 |
| 1609291202 | Little Rock Renal Services LLC | Clinic/Center | 1910 John Barrow Rd, Little Rock, AR 72204-1448 | 2014-02-19 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SILOAM SPRINGS |
| Zip Code | 72761 |
Please comment or provide details below to improve the information on DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.