SOUTH ARKANSAS KIDNEY CENTER
NPI 1013982040
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in El Dorado, AR
NPI Status: Active since February 22, 2006
Contact Information
620 W GROVE ST
EL DORADO, AR
ZIP 71730
Phone: (870) 862-8788
Fax: (870) 862-5756
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 04D0900655
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 01-02-2027
About SOUTH ARKANSAS KIDNEY CENTER
This page provides the complete NPI Profile along with additional information for South Arkansas Kidney Center, a provider established in El Dorado, Arkansas operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1013982040 assigned on February 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as South Arkansas Kidney Center. The authorized official of this NPI record is Mrs. Donette Ligon (Administrator)
- NPI
- 1013982040
- Provider Legal Name
- ARKANSAS NEPHROLOGY SERVICES, LTD.
- Other Organization Name
- SOUTH ARKANSAS KIDNEY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 620 W GROVE ST EL DORADO, AR 71730
- Location Phone
- (870) 862-8788
- Location Fax
- (870) 862-5756
- Mailing Address
- 115 WRIGHTS ST HOT SPRINGS, AR 71913
- Mailing Phone
- (501) 624-6000
- Mailing Fax
- (870) 862-5756
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-22-2006
- Last Update Date
- 07-13-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 042536 | MEDICARE ID-TYPE UNSPECIFIED (04) | AR | |
| 127057134 | MEDICAID (05) | AR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D0900655
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- MICHAEL D. SCHONEFELD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South Arkansas Kidney Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 9 | 8 | 2 | 0 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 18 | 8 | 4 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 1 + 8 + 8 + 4 + 0 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1013982040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
ARKANSAS NEPHROLOGY SERVICES, LTD.
Internal Medicine
(Nephrology)
620 W GROVE ST
EL DORADO, AR
ZIP 71730
DR. ROSALINE O FRASER MD
Family Medicine
620 W GROVE ST
SUITE 201
EL DORADO, AR
ZIP 71730
DR. MICHAEL D SCHONEFELD M.D.
Internal Medicine
(Nephrology)
620 W GROVE ST
EL DORADO, AR
ZIP 71730
DR. JOHNNIE HINTON III M.D.
Internal Medicine
(Nephrology)
620 W GROVE ST
EL DORADO, AR
ZIP 71730
MRS. LISA MCADAMS APN
Nurse Practitioner
(Acute Care)
620 W GROVE ST
EL DORADO, AR
ZIP 71730
ARKANSAS RENAL GROUP PA
Internal Medicine
(Nephrology)
620 W GROVE ST
EL DORADO, AR
ZIP 71730
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Clinic/Center
(End-Stage Renal Disease (ESRD) Treatment)
620 W GROVE ST
EL DORADO, AR
ZIP 71730
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013982040, enumerated as an "organization" on February 22, 2006.
The provider is located at 620 W GROVE ST EL DORADO, AR 71730 and the phone number is (870) 862-8788.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
