Organization
CAPES DIALYSIS LLC
Active
Other names
Saline County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1200 N MAIN ST, STE 2, BENTON, AR 72015-3341
(501) 776-1816
(501) 776-1872
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
189967134
—
AR
Enumeration date
01/20/2011
Last updated
04/11/2024
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