NPI 1104369297
Dialysis Centers of Northwest Arkansas, LLC
Practice location
- Address
- 3000 NW a St, Bentonville, AR 72712-3985
- Phone
- (479) 463-7000
- Fax
- (479) 587-8421
- Mailing address
- 107 E Monte Painter Dr, Fayetteville, AR 72703-4002
Authorised official
- Name
- Robert S Bomstad
- Title
- Ceo
- Phone
- (479) 463-7000
Registered specialties
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
Registry record
- NPI
- 1104369297
- Entity type
- Organization
- NPI issued
- 22 Nov 2016
- Record last updated
- 22 Nov 2016
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.