Organization
U S RENAL CARE OF NORTHEAST ARKANSAS LLC
Active
Parent organization
US RENAL CARE INC.
Other names
Paragould - US Renal Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC.
Authorized official
MR. THOMAS WEINBERG (VICE PRESIDENT - GENERAL COUNSEL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
901 W KINGSHIGHWAY, PARAGOULD, AR 72450-5943
(870) 215-0187
(870) 215-5320
Mailing address
PO BOX 19119, JONESBORO, AR 72403-6601
(870) 931-5400
(870) 931-5418
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
—
12562
BLUE CROSS BLUE SHIELD
AR
05
—
142641134
—
AR
Enumeration date
12/30/2005
Last updated
10/25/2013
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