Organization
USRC OF SE ARKANSAS LLC
Active
Parent organization
US RENAL CARE INC
Other names
Stuttgart - US Renal Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE INC
Authorized official
MR. THOMAS L WEINBERG (VICE PRESIDENT GENERAL COUNSEL)
(972) 736-2700
Entity
Organization
Contact information
Practice address
805 W. MADISON STREET, STUTTGART, AR 72160-2543
(870) 673-0008
(870) 673-0091
Mailing address
PO BOX 19119, JONESBORO, AR 72403-6601
(870) 931-5400
(870) 931-5418
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12579
BCBS
AR
05
—
162017134
—
AR
Enumeration date
09/12/2006
Last updated
10/28/2013
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