Organization Active NPI

Arkansas Renal Systems, Inc.

Doing business as Conway Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Conway, AR
National Provider Identifier
1194716068
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARKANSAS RENAL SYSTEMS, INC.
Doing business as
Conway Dialysis Center
Practice address
2445 Christina Lane
Conway, AR 72034-4711
Phone
(501) 327-1001
Fax
(501) 327-2126
NPI assigned
Oct 31, 2005
Last updated
Dec 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
William Stanley
Title
Ceo
Phone
(501) 663-0490

Specialties & licenses 1

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

Addresses

Primary practice location

2445 Christina Lane
Conway, AR 72034-4711

Mailing address

PO Box 17930
Little Rock, AR 72222-7930
Phone (501) 663-0490

Other identifiers 2

IdentifierTypeStateIssuer
12517OtherARBLUE CROSS BLUE SHIELD
126937134MedicaidAR

Other names 1

  • Conway Dialysis Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1194716068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17930",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722227930",
            "telephone_number": "501-663-0490",
            "fax_number": "501-663-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 CHRISTINA LANE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344711",
            "telephone_number": "501-327-1001",
            "fax_number": "501-327-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS RENAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-663-0490"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12517",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126937134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conway Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.