Organization Active NPI

Arkansas Nephrology Services, LTD.

Doing business as Ouachita Valley Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Camden, AR
National Provider Identifier
1114992047
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARKANSAS NEPHROLOGY SERVICES, LTD.
Doing business as
Ouachita Valley Kidney Center
Practice address
1114 Washington N.W.
Camden, AR 71701-3827
Phone
(870) 837-1330
Fax
(870) 837-1423
NPI assigned
Feb 22, 2006
Last updated
Jul 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Donette Ligon
Title
Administrator
Phone
(501) 624-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

1114 Washington N.W.
Camden, AR 71701-3827

Mailing address

115 Wrights St
Hot Springs, AR 71913-6240
Phone (501) 624-6000

Other identifiers 1

IdentifierTypeStateIssuer
118066134MedicaidAR

Other names 1

  • Ouachita Valley Kidney Center Doing business as

National Provider Directory

National Provider Directory

Locations

1114 W Washington St
#C
Camden, AR 71701
Phone (501) 837-1330

1900 Malvern Ave
Ste 103
Hot Springs, AR 71901

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1114992047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WRIGHTS ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136240",
            "telephone_number": "501-624-6000",
            "fax_number": "501-321-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 WASHINGTON N.W.",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013827",
            "telephone_number": "870-837-1330",
            "fax_number": "870-837-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS NEPHROLOGY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "LIGON",
        "authorized_official_first_name": "DONETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-624-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118066134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ouachita Valley Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.