St. Vincent Infirmary Medical Center
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Little Rock, AR. Organization (NPI-2).
NPI number1790728079
StatusActive
Last updated in NPPESJun 2, 2009
Details
- NPI
- 1790728079
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Vincent Infirmary Medical Center
- Organization subpart
- No
- Enumeration date
- Jun 14, 2006
- Last updated
- Jun 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- St. Vincent End Stage Renal Dialysis (Other Name)
Practice location
2 Saint Vincent CirLittle Rock, AR 72205-5423
Phone 501-552-3150 · Fax 501-552-4146
Mailing address
2 Saint Vincent CirLittle Rock, AR 72205-5423
Phone 501-552-3150 · Fax 501-552-4146
Authorized official
Julie Carpenter
Administrative Director
5015523134
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