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NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES NPI 1598876278


NPI Information

NPI: 1598876278
Provider Name: NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES

Doing Business As: REGIONAL KIDNEY CENTER SILOAM SPRINGS DIALYSIS CLINIC

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
500 S MOUNT OLIVE ST
SUITE 107
SILOAM SPRINGS, AR
ZIP 72761
Phone: (479) 524-0104
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NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES is a nephrology internal medicine in Siloam Springs, AR. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES NPI is 1598876278. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Regional Kidney Center Siloam Springs Dialysis Clinic.

The provider's business location address is:

500 S MOUNT OLIVE ST
SUITE 107
SILOAM SPRINGS, AR
ZIP 72761-602
Phone: (479) 524-0104
Fax: (479) 524-0769

The provider's authorized official is Fred Smardo .
The authorized official title is Business Owner and has the following contact phone number (479) 443-6688.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyE2362ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G28542MEDICARE UPINARKANSAS
2042549MEDICARE OSCAR/CERTIFICATIONARKANSAS
312549OTHERARKANSASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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