Organization
FORT SMITH REGIONAL DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PALMER (EXECUTIVE DIRECTOR)
(479) 755-6750
Entity
Organization
Contact information
Practice address
2201 BROOKEN HILL DR, FORT SMITH, AR 72908-8611
(479) 755-6700
(479) 755-6704
Mailing address
2201 BROOKEN HILL DR, FORT SMITH, AR 72908-8611
(479) 755-6700
(479) 755-6704
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
05
—
100728340A
—
OK
01
—
12501
AR BLUE CROSS
AR
05
—
134859734
—
AR
05
—
140066002
—
AR
Enumeration date
05/23/2005
Last updated
06/13/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us