institution
South Fork Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fresno, California
NPI 1659647808

South Fork Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. South Fork Dialysis Llc practices in Fresno, CA. The NPI Number for South Fork Dialysis Llc is 1659647808 and holds a License No. 550002083 (California).

The current practice location address for South Fork Dialysis Llc is 560 E Herndon Ave, Fresno, CA and can be reached out via phone at 559-432-5278 and via fax at 559-435-1422. You can also correspond with South Fork Dialysis Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-238-3085).

Location: 560 E Herndon Ave, Fresno, CA, 37027-7569
institution
Provider Profile Details
NPI Number
1659647808
Provider Name
South Fork Dialysis Llc
Credential
Provider Entity Type
Organization
Address
560 E Herndon Ave, Fresno, CA, 37027-7569
Phone Number
559-432-5278
Fax Number
559-435-1422
Provider Enumeration Date
03/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659647808 05 CA
institution
Provider Business Practice Location Address Details
Address
560 E Herndon Ave
City
State
Zip
93720-2907
Phone Number
559-432-5278
Fax Number
559-435-1422
person
Provider Business Mailing Address Details
Address
5200 Virginia Way
City
State
Zip
37027-7569
Phone Number
615-238-3085
Fax Number
800-268-9682
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
550002083 (California)
Definition
Definition to come...
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