Organization
ARKANSAS RENAL SYSTEMS, INC.
Active
Organization
ARKANSAS RENAL SYSTEMS, INC.
Active
Other names
Saline Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STANLEY (CEO)
(501) 663-0490
Entity
Organization
Contact information
Practice address
1200 N MAIN ST, SUITE 2, BENTON, AR 72015-3341
(501) 778-0200
(501) 778-0210
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
—
12558
BLUE CROSS BLUE SHIELD
AR
05
—
152127134
—
AR
Enumeration date
11/01/2005
Last updated
06/11/2008
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