OrganizationActive
Renal Treatment Centers-Southeast, Lp.
NPI 1457673345 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Forrest City, AR
Provider details
- NPI number
- 1457673345
- 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
1501 N Washington St
Forrest City, AR 72335-2152
Phone: (870) 494-4022
Fax: (870) 494-4769
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Forrest City Dialysis
- Doing business as
- Forrest City Dialysis
Registry dates
- Enumerated
- 2010-02-19
- Last updated
- 2024-10-29
- Certified
- 2024-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.