Organization
OZARK DIALYSIS LLC
Active
Other names
Pocahontas Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
404 CAMP RD, POCAHONTAS, AR 72455-1487
(870) 248-0138
(870) 248-0623
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
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
—
1912399601
—
IL
05
—
219943134
—
AR
05
—
500051873
—
MO
Enumeration date
03/04/2015
Last updated
04/05/2023
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