JEFFERSON COUNTY DIALYSIS INC. NPI 1285746180

NPI Information

JEFFERSON COUNTY DIALYSIS, INC. is an end-stage renal disease (esrd) treatment clinic center in Monticello, AR. JEFFERSON COUNTY DIALYSIS, INC. NPI is 1285746180. The provider is registered as an organization entity type.
The provider Is Doing Business As Monticello Dialysis.

The provider's business location address is:

774 JORDAN DR
MONTICELLO, AR
ZIP 71655-718
Phone: (870) 367-3100
Fax: (870) 367-2470

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/16/2023.

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:

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