1. Home
  2. Directory
  3. Arkansas
  4. Warren
  5. Clinic Center
  6. NPI Profile

BRADLEY COUNTY DIALYSIS
NPI 1194069617
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Warren, AR

Active since November 21, 2012
204 BRAGG ST, WARREN, AR 71671(870) 226-7180(870) 226-2488 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2022, Nov 10, 2022, Feb 10, 2022 and 4 more (7 updates tracked since 2018).

About Bradley County Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY COUNTY DIALYSIS (NPI 1194069617) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Warren, Arkansas and active in the NPI registry since November 2012. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1194069617
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS-SOUTHEAST, LP.
Location Address204 BRAGG STWarren, AR 71671-2500
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4268 · Fax (877) 238-0567
Phone(870) 226-7180
Fax(870) 226-2488
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateNovember 21, 2012
Last NPPES UpdateJanuary 17, 20247 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1194069617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
204 BRAGG ST, Warren, AR 71671
Open in Google Maps ↗

Other Names 1

Doing Business AsBradley County Dialysis

Other Identifiers 1

Medicaid200362134AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARKANSAS NEPHROLOGY SERVICES, LTD.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
204 BRAGG ST
WARREN, AR 71671
Bradley County (870) 226-7180
BRADLEY COUNTY MEDICAL CENTER
Home Health
204 BRAGG ST
WARREN, AR 71671
Bradley County (870) 226-3790
KARA BETH WEVER
Occupational Therapist
204 BRAGG ST
WARREN, AR 71671
Bradley County (870) 460-3540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renal Treatment Centers-Southeast, LP.'s NPI number?

The NPI number for Renal Treatment Centers-Southeast, LP. is 1194069617. It was assigned to this organization in the NPPES registry on November 21, 2012. The provider is doing business as Bradley County Dialysis.

Where is Renal Treatment Centers-Southeast, LP. located?

Renal Treatment Centers-Southeast, LP. is located at 204 Bragg St, Warren, AR 71671. The listed phone number is (870) 226-7180.

What is Renal Treatment Centers-Southeast, LP.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

What insurance does Renal Treatment Centers-Southeast, LP. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Renal Treatment Centers-Southeast, LP. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renal Treatment Centers-Southeast, LP. was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.