Organization
FORT SMITH REGIONAL DIALYSIS CENTER, LLC
Active
Organization
FORT SMITH REGIONAL DIALYSIS CENTER, LLC
Active
Other names
Poteau Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PALMER (EXECUTIVE DIRECTOR)
(479) 755-6700
Entity
Organization
Contact information
Practice address
1200 CENTRAL ST, POTEAU, OK 74953-2320
(918) 647-9373
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100707620A
—
OK
05
—
146670734
—
OK
01
—
900522191
PHYSICIAN'S
OK
Enumeration date
05/23/2005
Last updated
06/13/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up