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institution
Northeast Arkansas Clinic Charitable Foundation, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jonesboro, Arkansas
NPI 1033491519

Northeast Arkansas Clinic Charitable Foundation, Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Memphis, AR and is specialized in End-Stage Renal Disease (ESRD) Treatment. Northeast Arkansas Clinic Charitable Foundation, Inc. practices in Jonesboro, AR. The NPI Number for Northeast Arkansas Clinic Charitable Foundation, Inc. is 1033491519 and holds a License No. (Arkansas).

The current practice location address for Northeast Arkansas Clinic Charitable Foundation, Inc. is 4909 East Johnson Ave., Jonesboro, AR and can be reached out via phone at 870-336-3372 and via fax at 870-934-3658.

Location: 4909 East Johnson Ave., Jonesboro, AR, 38120-2177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033491519
Provider Name
Northeast Arkansas Clinic Charitable Foundation, Inc.
Credential
Provider Entity Type
Organization
Address
4909 East Johnson Ave., Jonesboro, AR, 38120-2177
Phone Number
870-336-3372
Fax Number
870-934-3658
Provider Enumeration Date
09/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12577 01 AR BCBS
200341134 05 AR
institution
Provider Business Practice Location Address Details
Address
4909 East Johnson Ave.
City
Jonesboro
State
Arkansas
Zip
72401
Phone Number
870-336-3372
Fax Number
870-934-3658
person
Provider Business Mailing Address Details
Address
4909 East Johnson Ave.
City
Jonesboro
State
Arkansas
Zip
72401
Phone Number
870-336-3372
Fax Number
870-934-3658
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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