Arkansas Nephrology Services, LTD.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ARKANSAS NEPHROLOGY SERVICES, LTD.

Doing business as

DeGray Kidney Center

Practice address

312 Professional Park Dr
Suite H
Arkadelphia, AR 71923-5315

Phone

(870) 246-3021

Fax

(870) 245-3766

NPI assigned

Feb 22, 2006

Last updated

Jul 12, 2012By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• DeGray Kidney Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1982679916",
    "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": "312 PROFESSIONAL PARK DR",
            "address_2": "SUITE H",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235315",
            "telephone_number": "870-246-3021",
            "fax_number": "870-245-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS NEPHROLOGY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-07-12",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112936134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeGray Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arkansas Health Group (Baptist Health Hospitalist Arkadelphia)
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• Arkansas Health Group (Arkadelphia Medical Clinic)
• Arkansas Health Group (Baptist Health Family Clinic Arkadelphia)
• Arkansas Health Group (Baptist Health Women's Clinic Arkadelphia)
• Andrew Allen Arnold
• Ascent Acquisitions Corp-PSC (Pediatric Specialty Care)
• Ascent Aquisition Corp- PSC
• Ascent Children's Health Services
• Jennifer Michelle Ashley, RN, BSN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arkadelphia, AR
• Providers in Arkadelphia, AR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.