AMERICAN FORK DIALYSIS LLC (NPI# 1306025499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306025499 |
| Entity Type | Organization |
| Organization Name | AMERICAN FORK DIALYSIS LLC |
| Other Organization Name | LONE PEAK DIALYSIS |
| Practice Address |
1175 E 50 S Ste 111 American Fork UT 84003-2845 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8017631304 |
| Practice Fax Number | 8017631305 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER TREASURER) |
| Authorized Official Telephone | 2537334501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1306025499 | 05 |
| Other Name | Type Code |
|---|---|
| Lone Peak Dialysis | Doing Business As Name - Organization |
| Street Address |
1175 E 50 S STE 111 |
| City | AMERICAN FORK |
| State | UT |
| Zip Code | 84003-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475341 | Yun Ling | Internal Medicine | 1175 E 50 S, Suite 241, American Fork, UT 84003-0000 | 2006-04-08 |
| 1417490079 | Shellie Marie Norton | Audiologist | 1175 E 50 S, 211, American Fork, UT 84003-2845 | 2016-11-29 |
| 1780027722 | Tomeika Ulett-garcia | Nurse Practitioner | 1175 E 50 S, Ste 221, American Fork, UT 84003-2845 | 2013-04-09 |
| 1174808596 | Scott K Summers | Nurse Practitioner | 1175 E 50 S, Suite 211, American Fork, UT 84003-2845 | 2011-10-17 |
| 1437348943 | Casey Ray Owens | Internal Medicine | 1175 E 50 S, Ste 221, American Fork, UT 84003-2845 | 2007-10-21 |
| 1144439068 | Central Utah Clinic, P.C. | Clinic/Center | 1175 E 50 S, American Fork, UT 84003-0000 | 2007-05-21 |
| 1659595742 | Adrienne Shaver | Nurse Practitioner | 1175 E 50 S, Suite 221, American Fork, UT 84003-2845 | 2007-04-12 |
| 1235264169 | Toby Paulson | Internal Medicine | 1175 E 50 S, Ste 251, American Fork, UT 84003-2845 | 2007-02-22 |
| 1437205028 | Central Utah Clinic, P.C. | Clinic/Center | 1175 E 50 S, Suite 101, American Fork, UT 84003-0000 | 2007-01-26 |
| 1174633408 | Shauna Whatcott-sclafani | Physician Assistant | 1175 E 50 S, Ste 251, American Fork, UT 84003-2845 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1457902553 | Lactation Link | Health Educator | 5524 Sicily Lane, Highland, UT 84003 | 2019-09-20 |
| 1750805511 | Eric Austin Haws | Physical Therapist | 1184 East 80 North, American Fork, UT 84003 | 2017-08-02 |
| 1578914784 | Ofa Moeai | Social Worker | 315 N 900 E, American Fork, UT 84003 | 2016-06-29 |
| 1639585839 | Carmel Ferreira | Acupuncturist | 42 N 200 E Ste 1, American Fork, UT 84003 | 2014-07-08 |
| 1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
| 1356778252 | Reese & Weaver Dds LLC | Optometrist | 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 | 2013-10-09 |
| 1518308444 | A Balanced Life Med Products | Durable Medical Equipment & Medical Supplies | 291 N 300 E Ste. C, American Fork, UT 84003 | 2013-07-08 |
| 1376981274 | Jesse Lucinda James | Family Medicine | 98 B. 1100 E. Suite #102, American Fork, UT 84003 | 2013-06-13 |
| 1922442904 | Premier Family Medical | Family Medicine | 226 N 100 E, Ste A, American Fork, UT 84003 | 2013-04-22 |
| Find all providers in zip 84003 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316037971 | American Fork Dialysis Center | Clinic/Center | 120 N 1220 E Ste 14, American Fork, UT 84003-2946 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587571 | Bmh Kidney Care LLC | Clinic/Center | 802 S 200 W Ste B, Blanding, UT 84511-3910 | 2020-10-29 |
| 1053956391 | Hegan Dialysis, LLC | Clinic/Center | 490 S State St, Orem, UT 84058-6302 | 2019-11-11 |
| 1811554124 | Pomme Dialysis, LLC | Clinic/Center | 1250 W Sandalwood Dr, Lehi, UT 84043-4615 | 2019-05-22 |
| 1992223556 | Wakonda Dialysis LLC | Clinic/Center | 555 W State Road 164 Ste 101, Salem, UT 84653-5732 | 2017-09-05 |
| 1831627223 | Fresenius Medical Care Provo, LLC | Clinic/Center | 135 South Orem Blvd, Ste 101, Orem, UT 84058-3006 | 2017-05-30 |
| 1407394463 | Fresenius Medical Care Pleasant View, LLC | Clinic/Center | 1735 West 2700 North, Farr West, UT 84404-1208 | 2017-02-09 |
| 1356897961 | Fresenius Medical Care Utah, LLC | Clinic/Center | 4101 W Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2050 | 2016-09-01 |
| 1770951030 | Liberty Dialysis-weber County, LLC | Clinic/Center | 475 East 40th St, Suite 110, South Ogden, UT 84403-1852 | 2015-09-03 |
| 1558746727 | Fresenius Medical Care Riverton, LLC | Clinic/Center | 12523 South Meadow Creek Drive, Riverton, UT 84065-7259 | 2015-07-29 |
| 1093199135 | Fresenius Medical Care Cedar City, LLC | Clinic/Center | 1320 North Main Street, Cedar City, UT 84721 | 2015-07-18 |
| Find all providers with the same taxonomy | ||||
| City | AMERICAN FORK |
| Zip Code | 84003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.