U S RENAL CARE OF NORTHEAST ARKANSAS LLC NPI 1295712131

NPI Information

NPI: 1295712131
Provider Name: U S RENAL CARE OF NORTHEAST ARKANSAS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: PARAGOULD - US RENAL CARE
CLIA Number: 04D1038340
Address: 901 W KINGSHIGHWAY
PARAGOULD, AR
ZIP 72450
Phone: (870) 215-0187

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NPI Details

U S RENAL CARE OF NORTHEAST ARKANSAS LLC is an end-stage renal disease (esrd) treatment clinic center in Paragould, AR. U S RENAL CARE OF NORTHEAST ARKANSAS LLC NPI is 1295712131. The provider is registered as an organization entity type.
The provider Is Doing Business As Paragould - Us Renal Care.

The provider's business location address is:

901 W KINGSHIGHWAY
PARAGOULD, AR
ZIP 72450-943
Phone: (870) 215-0187
Fax: (870) 215-5320

The provider's authorized official is Thomas Weinberg .
The authorized official title is Vice President - General Counsel and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 04D1038340 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2005 and was last updated on 10/25/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	042562	MEDICARE OSCAR/CERTIFICATION
2	12562	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD
3	142641134	MEDICAID	ARKANSAS

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: 3/30/2025

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