South Fork Dialysis LLC
South Fork Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fresno, California. Medicare rates this dialysis facility 3 out of 5. Licensed in California.
- CMS rating
- 3 of 5
- Licensed in
- CA
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
560 E Herndon Ave Ste 101Fresno, CA 93720-2907
Phone: (559) 432-5278
Fax: (559) 435-1422
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X · Licence 550002083 (CA) |
|---|
Record details
| NPI number | 1659647808 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Winstel — Chief Accounting Officer · (253) 733-4501 |
| Other names | Herndon Dialysis; Herndon Dialysis |
| NPI enumerated | March 31, 2012 |
| Last updated in NPPES | February 17, 2022 |
| Certification date | February 17, 2022 |
| Mailing address | 5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569 |
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