Organization Active NPI

Arkansas Renal Systems, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Newport, AR
National Provider Identifier
1922099779
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.
Practice address
1912 McLain St
Pratt Square
Newport, AR 72112-3659
Phone
(870) 523-2607
Fax
(870) 523-2824
NPI assigned
Nov 1, 2005
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 Primary

Addresses

Primary practice location

1912 McLain St
Pratt Square
Newport, AR 72112-3659

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
12554OtherARBLUE CROSS BLUE SHIELD
152126734MedicaidAR

Other names 1

  • Newport Dialysis Center Doing business as

National Provider Directory

National Provider Directory

Locations

1700 Harrison St
Batesville, AR 72501
Phone (501) 580-8892

5326 W Markham St
#5
Little Rock, AR 72205
Phone (501) 664-6802

3208 Langley Dr
Searcy, AR 72143
Phone (501) 268-4400

3210 Langley Dr
Searcy, AR 72143
Phone (501) 268-4400

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": "1922099779",
    "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": "1912 MCLAIN ST",
            "address_2": "PRATT SQUARE",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123659",
            "telephone_number": "870-523-2607",
            "fax_number": "870-523-2824"
        }
    ],
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12554",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152126734",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, 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.