Organization Active NPI

Arkansas Nephrology Services, LTD.

Doing business as Ashley Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Crossett, AR
National Provider Identifier
1649245945
Registry record updated Jul 13, 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
Ashley Kidney Center
Practice address
1019 Fred Lagrone Dr
Crossett, AR 71635-4546
Phone
(870) 305-1225
Fax
(870) 305-1240
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 Primary

Addresses

Primary practice location

1019 Fred Lagrone Dr
Crossett, AR 71635-4546

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
139860134MedicaidAR

Other names 1

  • Ashley Kidney 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": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1649245945",
    "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": "1019 FRED LAGRONE DR",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354546",
            "telephone_number": "870-305-1225",
            "fax_number": "870-305-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS NEPHROLOGY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2012-07-13",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139860134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crossett, AR

Sources for this page

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