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
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