Organization Active NPI

Arkansas Renal Systems, Inc.

Doing business as Saline Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Benton, AR
National Provider Identifier
1851382600
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARKANSAS RENAL SYSTEMS, INC.
Doing business as
Saline Dialysis Center
Practice address
1200 N Main St
Suite 2
Benton, AR 72015-3341
Phone
(501) 778-0200
Fax
(501) 778-0210
NPI assigned
Nov 1, 2005
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
William Stanley
Title
Ceo
Phone
(501) 663-0490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

1200 N Main St
Suite 2
Benton, AR 72015-3341

Mailing address

PO Box 17930
Little Rock, AR 72222-7930
Phone (501) 663-0490

Other identifiers 2

IdentifierTypeStateIssuer
12558OtherARBLUE CROSS BLUE SHIELD
152127134MedicaidAR

Other names 1

  • Saline Dialysis 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": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1851382600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17930",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722227930",
            "telephone_number": "501-663-0490",
            "fax_number": "501-663-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153341",
            "telephone_number": "501-778-0200",
            "fax_number": "501-778-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS RENAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-663-0490"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12558",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152127134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saline Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.