OrganizationActive
Little Rock Dialysis Centers LLC
NPI 1982822631 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jacksonville, AR
Provider details
- NPI number
- 1982822631
- 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
400 T P White Dr
Jacksonville, AR 72076-3287
Phone: (501) 241-1300
Fax: (501) 985-1344
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Jacksonville Central Dialysis Center
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2024-06-14
- Certified
- 2024-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.