Organization
ARKANSAS RENAL SYSTEMS, INC.
Active
Other names
Midtown Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STANLEY (CEO)
(501) 663-0490
Entity
Organization
Contact information
Practice address
2 LILE CT, SUITE 102A, LITTLE ROCK, AR 72205-6221
(501) 221-3123
(501) 221-3167
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
01
—
12547
BLUE CROSS BLUE SHIELD
AR
05
—
152125734
—
AR
Enumeration date
11/01/2005
Last updated
06/11/2008
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