Active NPI
Fort Smith Regional Dialysis Center LLC
- Nephrology Physician
- Fort Smith, AR
National Provider Identifier
1255398939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember 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.
-
- Nephrology Physician
- Morganton, NC
- NPI 1760620280
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
- Fort Smith Neuroscience Center, PLLC.
- Fort Smith Oral & Maxillofacial Surgery Group PA-Curry and Butler
- Fort Smith Physical Therapy Center
- Fort Smith Public Schools
- Fort Smith Radiation Oncology
- Fort Smith Regional Dialysis Center LLC
- Fort Smith School District 100
- Fort Smith Sleep Lab LLC (Disease Prevention Services)
- Fort Smith Sleep Lab, LLC (Disease Prevention Services)
- Fort Smith Surgical Supply Co
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.