Organization
DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC
Active
Organization
DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC
Active
Other names
Dialysis Center of Siloam Springs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BOMSTAD (ADMINISTRATOR)
(479) 463-7000
Entity
Organization
Contact information
Practice address
2125 E MAIN ST, SUITE 11 & 12, SILOAM SPRINGS, AR 72761-5571
(479) 524-5214
Mailing address
107 E MONTE PAINTER DR, FAYETTEVILLE, AR 72703-4002
(479) 524-5214
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
03/20/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up