Organization Active NPI

Fort Smith Regional Dialysis Center LLC

  • Nephrology Physician
  • Fort Smith, AR
National Provider Identifier
1255398939
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
FORT SMITH REGIONAL DIALYSIS CENTER LLC
Practice address
2201 Brooken Hill Dr
Fort Smith, AR 72908-8611
Phone
(479) 755-6700
Fax
(479) 755-6704
NPI assigned
Apr 27, 2006
Last updated
Jun 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Laura Palmer
Title
Executive Director
Phone
(479) 755-6750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

2201 Brooken Hill Dr
Fort Smith, AR 72908-8611

Mailing address

2201 Brooken Hill Dr
Fort Smith, AR 72908-8611
Phone (479) 755-6700

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1255398939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BROOKEN HILL DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088611",
            "telephone_number": "479-755-6700",
            "fax_number": "479-755-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BROOKEN HILL DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088611",
            "telephone_number": "479-755-6700",
            "fax_number": "479-755-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH REGIONAL DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-755-6750"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

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