| NPI | 1104369297 |
|---|---|
| Doing Business As | HIDDEN SPRINGS DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT S BOMSTAD CEO 479-463-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |