Active NPI
Renal Treatment Centers - Southeast, LP
Doing business as Rogers Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rogers, AR
National Provider Identifier
1396140083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RENAL TREATMENT CENTERS - SOUTHEAST, LP
- Doing business as
- Rogers Dialysis
- Practice address
- 101 N 37TH St
Rogers, AR 72756-0301 - Phone
- (479) 899-6868
- Fax
- (479) 899-6885
- NPI assigned
- Oct 24, 2014
- 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
- James K Hilger
- Title
- Chief Accounting Officer
- Phone
- (253) 733-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
101 N 37TH St
Rogers, AR 72756-0301
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 320-4268
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100709360C | Medicaid | OK | |
| 216606134 | Medicaid | AR |
Other names 1
- Rogers Dialysis
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539302400000",
"number": "1396140083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-320-4268",
"fax_number": "877-238-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N 37TH ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727560301",
"telephone_number": "479-899-6868",
"fax_number": "479-899-6885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL TREATMENT CENTERS - SOUTHEAST, LP",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-24",
"last_updated": "2018-10-12",
"status": "A",
"authorized_official_last_name": "HILGER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
"authorized_official_telephone_number": "253-733-4500"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100709360C",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216606134",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rogers Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rogers Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.