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USRC OF SE ARKANSAS LLC NPI 1619071305


NPI Information

NPI: 1619071305
Provider Name: USRC OF SE ARKANSAS LLC

Doing Business As: STUTTGART - US RENAL CARE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
805 W. MADISON STREET
STUTTGART, AR
ZIP 72160
Phone: (870) 673-0008
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USRC OF SE ARKANSAS LLC is an end-stage renal disease (esrd) treatment clinic center in Stuttgart, AR. USRC OF SE ARKANSAS LLC NPI is 1619071305. The provider is registered as an organization entity type.
The provider Is Doing Business As Stuttgart - Us Renal Care.

The provider's business location address is:

805 W. MADISON STREET
STUTTGART, AR
ZIP 72160-543
Phone: (870) 673-0008
Fax: (870) 673-0091

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Vice President General Counsel and has the following contact phone number (972) 736-2700.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 10/28/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1042579MEDICARE OSCAR/CERTIFICATION
2162017134MEDICAIDARKANSAS
312579OTHERARKANSASBCBS

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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