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ATCHESS DIALYSIS LLC NPI 1326638511


NPI Information

NPI: 1326638511
Provider Name: ATCHESS DIALYSIS LLC

Doing Business As: TWIN CITIES DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 04D2213021

Address:
2325 TRINITY BLVD
TEXARKANA, AR
ZIP 71854
Phone: (870) 621-3135
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ATCHESS DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Texarkana, AR. ATCHESS DIALYSIS LLC NPI is 1326638511. The provider is registered as an organization entity type.
The provider Is Doing Business As Twin Cities Dialysis.

The provider's business location address is:

2325 TRINITY BLVD
TEXARKANA, AR
ZIP 71854-406
Phone: (870) 621-3135
Fax: (870) 621-2448

The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 04D2213021 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2021 and was last updated on 9/20/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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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