OrganizationActive
Renal Treatment Centers-Southeast, Lp.
NPI 1396178471 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Little Rock, AR
Provider details
- NPI number
- 1396178471
- 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
6115 Baseline Rd
Ste 100
Little Rock, AR 72209-4725
Phone: (501) 570-0543
Fax: (501) 570-0738
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- South Little Rock Dialysis
- Doing business as
- South Little Rock Dialysis
Registry dates
- Enumerated
- 2013-08-13
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.