Organization
ARKANSAS RENAL SYSTEMS, INC.
Active
Other names
Conway Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STANLEY (CEO)
(501) 663-0490
Entity
Organization
Contact information
Practice address
2445 CHRISTINA LANE, CONWAY, AR 72034-4711
(501) 327-1001
(501) 327-2126
Mailing address
PO BOX 17930, LITTLE ROCK, AR 72222-7930
(501) 663-0490
(501) 663-5948
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12517
BLUE CROSS BLUE SHIELD
AR
05
—
126937134
—
AR
Enumeration date
10/31/2005
Last updated
12/03/2010
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