Organization
FORT SMITH REGIONAL DIALYSIS CENTER, LLC
Active
Parent organization
FORT SMITH REGIONAL DIALYSIS CENTER, LLC
Other names
Van Buren Dialysis Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORT SMITH REGIONAL DIALYSIS CENTER, LLC
Authorized official
LAURA ANNE PALMER (EXECUTIVE DIRECTOR)
(479) 755-6750
Entity
Organization
Contact information
Practice address
256 NORTHRIDGE DRIVE E, VAN BUREN, AR 72956
(479) 755-6754
(479) 755-6849
Mailing address
PO BOX 181210, FORT SMITH, AR 72918-1210
(479) 755-6754
(479) 755-6849
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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