Active NPI
St. Vincent Infirmary Medical Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Little Rock, AR
National Provider Identifier
1790728079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- ST. VINCENT INFIRMARY MEDICAL CENTER
- Practice address
- 2 Saint Vincent Cir
Little Rock, AR 72205-5423 - Phone
- (501) 552-3150
- Fax
- (501) 552-4146
- NPI assigned
- Jun 14, 2006
- 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
- Mrs. Julie Carpenter
- Title
- Administrative Director
- Phone
- (501) 552-3134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2 Saint Vincent Cir
Little Rock, AR 72205-5423
Mailing address
2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-3150
Other names 1
- St. Vincent End Stage Renal Dialysis
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243900800000",
"number": "1790728079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SAINT VINCENT CIR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055423",
"telephone_number": "501-552-3150",
"fax_number": "501-552-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SAINT VINCENT CIR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055423",
"telephone_number": "501-552-3150",
"fax_number": "501-552-4146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. VINCENT INFIRMARY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2009-06-02",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "501-552-3134",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Vincent End Stage Renal Dialysis",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Little Rock, AR
- St. Vincent Infirmary Medical Center
- St. Vincent Infirmary Medical Center
- St. Vincent Infirmary Medical Center
- St. Vincent Infirmary Medical Center
- St. Vincent Infirmary Medical Center
- St. Vincent Infirmary Medical Center
- St. Vincent Medical Group
- St. Vincent-Arkansas Orthopaedic Surgery Center LLC
- John Stack
- Brandon Stackhouse
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.