Active NPI
Arkansas Renal Systems, Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Newport, AR
National Provider Identifier
1922099779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12554 | Other | AR | BLUE CROSS BLUE SHIELD |
| 152126734 | Medicaid | AR |
Other names 1
- Newport Dialysis Center
National Provider Directory
National Provider DirectoryLocations
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.