Organization
DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC
Active
Other names
Benton County Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S BOMSTAD (ADMINISTRATOR AND CEO)
(479) 463-7000
Entity
Organization
Contact information
Practice address
801 SE PLAZA AVE, SUITE 1, BENTONVILLE, AR 72712-7772
(479) 273-7340
Mailing address
801 SE PLAZA AVE, SUITE 1, BENTONVILLE, AR 72712-7772
(479) 273-7340
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
03/20/2015
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