SRS-AMERICAN FORK, LLC
NPI 1720653942
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in American Fork, UT

Active since May 20, 2021
1159 E 200 N, AMERICAN FORK, UT 84003(888) 893-7783(855) 631-0206 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Srs-american Fork, Llc NPPES

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

SRS-AMERICAN FORK, LLC (NPI 1720653942), doing business as Srs Dialysis Of American Fork, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in American Fork, Utah and active in the NPI registry since May 2021. The organization lists Jerome S Tannenbaum, Ceo And Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1720653942
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSRS-AMERICAN FORK, LLC
Location Address1159 E 200 NAmerican Fork, UT 84003-2022
Mailing AddressPo Box 198813Nashville, TN 37219-8813 · (615) 988-7881 · Fax (855) 631-0206
Fax(855) 631-0206
Organization SubpartNo
Authorized OfficialJerome S TannenbaumCeo And Chairman Of The Board · (615) 467-0140
Enumeration DateMay 20, 2021
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
NPI 1720653942 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
1159 E 200 N, American Fork, UT 84003

Other Names 1

Doing Business AsSrs Dialysis Of American Fork

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
1159 E 200 N, STE. 250
AMERICAN FORK, UT 84003
Surgery
1159 E 200 N, STE. 350
AMERICAN FORK, UT 84003
Internal Medicine
1159 E 200 N, SUITE 150
AMERICAN FORK, UT 84003
Pediatrics
1159 E 200 N, SUITE 200
AMERICAN FORK, UT 84003
Hospitalist
1159 E 200 N, SUITE 150
AMERICAN FORK, UT 84003
Surgery
1159 E 200 N, STE 350
AMERICAN FORK, UT 84003
Obstetrics & Gynecology
1159 E 200 N, STE 250
AMERICAN FORK, UT 84003
Pediatrics
1159 E 200 N, SUITE 350
AMERICAN FORK, UT 84003

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 Srs-American Fork, LLC's NPI number?

The NPI number for Srs-American Fork, LLC is 1720653942. It was assigned to this organization in the NPPES registry on May 20, 2021. The provider is doing business as SRS Dialysis of American Fork.

Where is Srs-American Fork, LLC located?

Srs-American Fork, LLC is located at 1159 E 200 N, American Fork, UT 84003. The listed phone number is (888) 893-7783.

What is Srs-American Fork, LLC'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 Srs-American Fork, LLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Srs-American Fork, LLC 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 Srs-American Fork, LLC was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.