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Organization

DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC

Active
Other names
Hidden Springs Dialysis Center
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT S BOMSTAD RN (CEO)
(479) 463-7000
Entity
Organization

Contact information

Practice address
3000 NW A ST, BENTONVILLE, AR 72712-3985
(479) 463-7000
(479) 587-8421
Mailing address
107 E MONTE PAINTER DR, FAYETTEVILLE, AR 72703-4002
(479) 463-7000
(479) 587-8421

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
11/22/2016
Last updated
11/22/2016
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