Organization Active NPI

Arkansas Nephrology Services, LTD.

Doing business as Warren Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Warren, AR
National Provider Identifier
1184699498
Registry record updated Jul 12, 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
Warren Kidney Center
Practice address
204 Bragg St
Warren, AR 71671-2500
Phone
(870) 226-7180
Fax
(870) 226-2488
NPI assigned
Feb 21, 2006
Last updated
Jul 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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

204 Bragg St
Warren, AR 71671-2500

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
158997134MedicaidAR

Other names 1

  • Warren Kidney Center Doing business as

National Provider Directory

National Provider Directory

Locations

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

1900 Malvern Ave
Ste 304
Hot Springs National Park, AR 71901
Phone (501) 321-9803

1590 Tanner St
Rockport, AR 72104
Phone (501) 332-3000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1184699498",
    "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": "204 BRAGG ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716712500",
            "telephone_number": "870-226-7180",
            "fax_number": "870-226-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS NEPHROLOGY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2012-07-12",
        "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": "158997134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.