HISTORIC DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Forrest City, AR. HISTORIC DIALYSIS LLC NPI is 1457599722. The provider is registered as an organization entity type.
The provider Is Doing Business As Forrest City Dialysis.
The provider's business location address is:
1501 N WASHINGTON ST
FORREST CITY, AR
ZIP 72335-152
Phone: (870) 494-4022
Fax: (870) 494-4769
The provider's authorized official is James K Hilger .
The authorized official title is Vice President and has the following contact phone number (253) 382-1919.
The CLIA number assigned to this NPI record is 04D1096838 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/26/2009 and was last updated on 10/29/2009.