OrganizationActive
Srs-American Fork, LLC
NPI 1720653942 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · American Fork, UT
Provider details
- NPI number
- 1720653942
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerome Tannenbaum, Ceo and Chairman of the Board(615) 467-0140
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1159 E 200 N
American Fork, UT 84003-2022
Phone: (888) 893-7783
Fax: (855) 631-0206
Street-level locationGet directions
Mailing address
Po Box 198813
Nashville, TN 37219-8813
Other names (DBA / former)
- Doing business as
- Srs Dialysis of American Fork
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2021-05-21
- Certified
- 2021-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.