OrganizationActive
Historic Dialysis LLC
NPI 1457599722 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Forrest City, AR
Provider details
- NPI number
- 1457599722
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- James Hilger, Vice President
Practice location
1501 N Washington St
Forrest City, AR 72335-2152
Phone: (870) 494-4022
Fax: (870) 494-4769
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2009-01-26
- Last updated
- 2009-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.