OrganizationActive
Renal Treatment Centers-Southeast, Lp.
NPI 1285978627 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Russellville, AR
Provider details
- NPI number
- 1285978627
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3121 W 2nd Ct
Russellville, AR 72801-4504
Phone: (479) 968-4687
Fax: (479) 968-2260
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- River Valley Dialysis
- Doing business as
- River Valley Dialysis
Registry dates
- Enumerated
- 2012-11-26
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.