Organization
ARKANSAS RENAL SYSTEMS PA
Active
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
Update your record
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