ARKANSAS RENAL SYSTEMS, INC. (NPI# 1851382600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851382600 |
Entity Type | Organization |
Organization Name | ARKANSAS RENAL SYSTEMS, INC. |
Other Organization Name | SALINE DIALYSIS CENTER |
Practice Address |
1200 N Main St Suite 2 Benton AR 72015-3341 |
Mailing Address |
Po Box 17930 Little Rock AR 72222-7930 |
Practice Telephone | 5017780200 |
Practice Fax Number | 5017780210 |
Mailing Telephone | 5016630490 |
Mailing Fax Number | 5016635948 |
Enumeration Date | 2005-11-01 |
Last Update Date | 2008-06-11 |
Authorized Official Name | WILLIAM STANLEY (CEO) |
Authorized Official Telephone | 5016630490 |
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 | 152127134 | 05 | |
AR | BLUE CROSS BLUE SHIELD | 12558 | 01 |
Other Name | Type Code |
---|---|
Saline Dialysis Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922099779 | Arkansas Renal Systems, Inc. | Clinic/Center | 1912 Mclain St, Pratt Square, Newport, AR 72112-3659 | 2005-11-01 |
1457342339 | Arkansas Renal Systems, Inc. | Clinic/Center | 3210 Langley Dr, Searcy, AR 72143-6020 | 2005-10-31 |
1720079692 | Arkansas Renal Systems, Inc. | Clinic/Center | 202 John Harden Dr, Jacksonville, AR 72076-3775 | 2005-10-31 |
1194716068 | Arkansas Renal Systems, Inc. | Clinic/Center | 2445 Christina Lane, Conway, AR 72034-4711 | 2005-10-31 |
1740271592 | Arkansas Renal Systems, Inc. | Clinic/Center | 2 Lile Ct, Suite 102a, Little Rock, AR 72205-6221 | 2005-11-01 |
1114918083 | Arkansas Renal Systems, Inc. | Clinic/Center | 1700 Harrison St, Batesville, AR 72501-7316 | 2005-10-31 |
Street Address |
1200 N MAIN ST SUITE 2 |
City | BENTON |
State | AR |
Zip Code | 72015-3341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699070706 | Capes Dialysis LLC | Clinic/Center | 1200 N Main St, Ste 2, Benton, AR 72015-3341 | 2011-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
Find all providers in zip 72015 |
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 |
---|---|---|---|---|
1720190622 | Little Rock Dialysis, Inc. | Clinic/Center | 2101 Congo Rd, Benton, AR 72015-2750 | 2006-08-31 |
1609885185 | Renal Life Link Inc | Clinic/Center | 1151 Route 14 W, Benton, IL 62812-1500 | 2006-08-05 |
1699070706 | Capes Dialysis LLC | Clinic/Center | 1200 N Main St, Ste 2, Benton, AR 72015-3341 | 2011-01-20 |
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 |
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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.