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Isd Renal Inc

Isd Renal Inc is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marion, AR, holding Type 2 (organization) NPI 1003861642 since 2006. The authorized official on file is Samuel Wey, Vp, Licensure & Certification.

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NPI 1003861642
Entity type Organization (Type 2)
Legal business name Isd Renal Inc
Other name <Unavail>
Practice address 1120 STATE HIGHWAY 77 STE 2, Marion, AR, 72364
Phone 8707354087
Fax 8707354062
Enumeration date 2006-05-23
Last updated in NPPES 2025-01-23

Authorized official

Name Samuel Wey
Title Vp, Licensure & Certification
Phone 6153416641

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Other identifiers

Identifier Type State Issuer
161607134 Medicaid AR
Copy-ready billing details
Provider: Isd Renal Inc
NPI: 1003861642
Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center)
Address: 1120 STATE HIGHWAY 77 STE 2, Marion, AR, 72364

Verify this record

Cross-check NPI 1003861642 against the authoritative CMS record: view Isd Renal Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Isd Renal Inc?
The NPI for Isd Renal Inc is 1003861642, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Isd Renal Inc?
NPPES lists Samuel Wey (Vp, Licensure & Certification) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-01-23.