ARKANSAS NEPHROLOGY SERVICES, LTD. (NPI# 1801861109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801861109 |
| Entity Type | Organization |
| Organization Name | ARKANSAS NEPHROLOGY SERVICES, LTD. |
| Other Organization Name | MALVERN KIDNEY CENTER |
| Practice Address |
1590 Tanner St Rockport AR 72104-2023 |
| Mailing Address |
115 Wrights St Hot Springs AR 71913-6240 |
| Practice Telephone | 5013323000 |
| Practice Fax Number | 5013325858 |
| Mailing Telephone | 5016246000 |
| Mailing Fax Number | 5013210710 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2012-07-13 |
| Authorized Official Name | MRS. DONETTE LIGON (ADMINISTRATOR) |
| Authorized Official Telephone | 5016246000 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 150580734 | 05 |
| Other Name | Type Code |
|---|---|
| Malvern Kidney Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114992047 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 1114 Washington N.w., Camden, AR 71701-3827 | 2006-02-22 |
| 1184699498 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 204 Bragg St, Warren, AR 71671-2500 | 2006-02-21 |
| 1538134820 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 3121 W 2nd Ct, Russellville, AR 72801-4504 | 2006-02-21 |
| 1649245945 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 1019 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2006-02-21 |
| 1013982040 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 620 W Grove St, El Dorado, AR 71730-4414 | 2006-02-22 |
| 1811962830 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 1900 Malvern Ave, Suite102, Hot Springs, AR 71901-7759 | 2006-02-22 |
| 1982679916 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 312 Professional Park Dr, Suite H, Arkadelphia, AR 71923-5315 | 2006-02-22 |
| 1467427872 | Arkansas Nephrology Services, Ltd. | Internal Medicine | 115 Wrights St, Hot Springs, AR 71913-6240 | 2006-02-20 |
| 1275508681 | Arkansas Nephrology Services, Ltd. | Internal Medicine | 620 W Grove St, El Dorado, AR 71730-4414 | 2006-02-20 |
| Street Address |
1590 TANNER ST |
| City | ROCKPORT |
| State | AR |
| Zip Code | 72104-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700120110 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1590 Tanner St, Rockport, AR 72104-2023 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| 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 |
|---|---|---|---|---|
| 1700037447 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2102 Fm 2165, Rockport, TX 78382-9998 | 2008-09-30 |
| 1760647580 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 1102 Fm 3036, Rockport, TX 78382-7797 | 2008-07-21 |
| 1700120110 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1590 Tanner St, Rockport, AR 72104-2023 | 2012-11-26 |
| 1871876375 | Dialysis Newco Inc | Clinic/Center | 2102 Fm 2165, Rockport, TX 78382-4345 | 2011-09-21 |
| 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 | ||||
Please comment or provide details below to improve the information on ARKANSAS NEPHROLOGY SERVICES, LTD..
| 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.