OrganizationActive
Renal Center of Mountain Home LLC
NPI 1629015979 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mountain Home, AR
Provider details
- NPI number
- 1629015979
- 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
200 E 8th St Ste 101
Mountain Home, AR 72653-4402
Phone: (870) 508-6500
Fax: (870) 508-6550
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Renal Center of Mountain Home
Registry dates
- Enumerated
- 2006-06-02
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.