NPI 1003861642

Isd Renal INC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Marion, AR

Practice location

Address: 1120 State Highway 77 STE 2, Marion, AR 72364-9046
Phone: (870) 735-4087
Fax: (870) 735-4062
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T. Wey
Title: Vp, Licensure & Certification
Phone: (615) 341-6641

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

Other Clinic/Center providers in Arkansas →

Registry record

NPI: 1003861642
Entity type: Organization
NPI issued: 23 May 2006
Record last updated: 23 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.