Organization
DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC
Active
Parent organization
DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC
Other names
Springdale Dialysis Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC
Authorized official
ROBERT STACY BOMSTAD (ADMINISTRATOR/CEO)
(479) 463-7000
Entity
Organization
Contact information
Practice address
2158 BUTTERFIELD COACH RD, SPRINGDALE, AR 72764-9142
(479) 463-7000
Mailing address
107 E MONTE PAINTER DR, FAYETTEVILLE, AR 72703-4002
(479) 463-7000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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