American Fork Dialysis Llc in American Fork - End-stage Renal Disease (esrd) Treatment

American Fork Dialysis Llc - NPI 1306025499

American Fork Dialysis Llc is a End-stage Renal Disease (esrd) Treatment in American Fork, Utah. American Fork Dialysis Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for American Fork Dialysis Llc is 1306025499. The last update date is 2023-11-28.

American Fork Dialysis Llc's current location address is 1175 E 50 S Ste 111, American Fork, Utah. You can contact this provider via phone number 8017631304 and fax number 8017631305. The mailing address for American Fork Dialysis Llc is 1175 E 50 S Ste 111, American Fork, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization American Fork Dialysis Llc
Address 1175 E 50 S Ste 111, American Fork, Utah
Phone Number 8017631304
Fax Number 8017631305
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP, LICENS
Authorized Official Name Wey Samuel
Telephone Number 6153416641

NPI Number Detail

NPI Number 1306025499
Provider Enumeration Date 2007-10-25
Last Updated Date 2023-11-28

Provider Mailing Address Detail

Address 1175 E 50 S Ste 111
City American Fork
State Utah (UT)
Post Code 840032846
Phone Number 8017631304
Fax Number 8017631305

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1306025499 UT --

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FAQs about American Fork Dialysis Llc

What is the American Fork Dialysis Llc's unique identification number?

The American Fork Dialysis Llc has been assigned the NPI (National Provider Identifier) Number 1306025499 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of American Fork Dialysis Llc?

The American Fork Dialysis Llc is situated at 1175 E 50 S Ste 111, in the city of American Fork, state of UT, with the zip code 840032846.

What is American Fork Dialysis Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for American Fork Dialysis Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1306025499 to American Fork Dialysis Llc?

The Centers for Medicare & Medicaid Services originally issued the 1306025499 to American Fork Dialysis Llc on 2007-10-25.

When was the information regarding American Fork Dialysis Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to American Fork Dialysis Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-11-28.

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