Organization
ARKANSAS RENAL SYSTEMS PA
Active
Other names
Springhill Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STANLEY (CEO)
(501) 663-0490
Entity
Organization
Contact information
Practice address
3401 SPRINGHILL DR, #190, N LITTLE ROCK, AR 72117
(501) 945-3669
(501) 945-3949
Mailing address
PO BOX 17930, LITTLE ROCK, AR 72222-7930
(501) 663-0490
(501) 663-5948
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
05
—
113713734
—
AR
01
—
12513
BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/01/2005
Last updated
06/17/2008
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