NPI 1033491519

Northeast Arkansas Clinic Charitable Foundation, INC.

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

Practice location

Address: 4909 East Johnson Ave., Jonesboro, AR 72401
Phone: (870) 336-3372
Fax: (870) 934-3658
Mailing address: 350 N Humphreys Blvd, Memphis, TN 38120-2177

Authorised official

Name: Gregory M Duckett
Title: Sr Vp/ Clo
Phone: (901) 227-5233

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: 1033491519
Entity type: Organization
NPI issued: 12 Sep 2011
Record last updated: 30 Sep 2020

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.