MENA DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Mena, AR. MENA DIALYSIS CENTER LLC NPI is 1477744670. The provider is registered as an organization entity type. The provider Is Doing Business As Mena Dialysis Center.
The provider's business location address is:
1200 CRESTWOOD CIR MENA, AR ZIP 71953-516 Phone: (479) 394-8085 Fax: (479) 394-2164
The provider's authorized official is Samuel T Wey . The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 04D1075322 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/5/2007 and was last updated on 9/18/2024.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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: 11/21/2025
NPI Synchronization or Removal
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