1. Home
  2. Directory
  3. Arkansas
  4. Fort Smith
  5. Internal Medicine
  6. NPI Profile

FORT SMITH REGIONAL DIALYSIS CENTER LLC
NPI 1255398939
Internal Medicine - Nephrology in Fort Smith, AR

Active since April 27, 2006CLIA 04D0469130 · Waiver
2201 BROOKEN HILL DR, FORT SMITH, AR 72908(479) 755-6700(479) 755-6704 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Smith Regional Dialysis Center Llc NPPES

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

FORT SMITH REGIONAL DIALYSIS CENTER LLC (NPI 1255398939) is a healthcare organization registered as a nephrology in Fort Smith, Arkansas and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Laura Palmer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1255398939
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameFORT SMITH REGIONAL DIALYSIS CENTER LLC
Location Address2201 BROOKEN HILL DRFort Smith, AR 72908-8611
Mailing Address2201 Brooken Hill DrFort Smith, AR 72908-8611 · (479) 755-6700 · Fax (479) 755-6704
Phone(479) 755-6700
Fax(479) 755-6704
Organization SubpartNo
Authorized OfficialLaura PalmerExecutive Director · (479) 755-6750
Enumeration DateApril 27, 2006
Last NPPES UpdateJune 13, 2012
✔ NPI 1255398939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2201 BROOKEN HILL DR, Fort Smith, AR 72908
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified57742AR · Ar Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0469130

Fort Smith Regional Dialysis Center · Fort Smith, AR
Active · expires Aug 31, 2026
CLIA Number04D0469130
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLaura Palmer
Laboratory Phone(479) 755-6700
Laboratory LocationFort Smith Regional Dialysis Center2201 Brooken Hill Drive, Fort Smith, AR 72908
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

FORT SMITH REGIONAL DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2201 BROOKEN HILL DR
FORT SMITH, AR 72908
Sebastian County (479) 755-6700

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 Fort Smith Regional Dialysis Center LLC's NPI number?

The NPI number for Fort Smith Regional Dialysis Center LLC is 1255398939. It was assigned to this organization in the NPPES registry on April 27, 2006.

Where is Fort Smith Regional Dialysis Center LLC located?

Fort Smith Regional Dialysis Center LLC is located at 2201 Brooken Hill Dr, Fort Smith, AR 72908. The listed phone number is (479) 755-6700.

What is Fort Smith Regional Dialysis Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Fort Smith Regional Dialysis Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0469130) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Smith Regional Dialysis Center LLC was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.