Herndon Dialysis

LBN: South Fork Dialysis Llc
Herndon Dialysis is an health care organization with primary practice located at 560 E Herndon Ave Ste 101, Fresno CA 93720-2907. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. South Fork Dialysis Llc can be contacted via phone (559) 432-5278, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
560 E Herndon Ave Ste 101 Fresno CA 93720-2907
Phone: (559) 432-5278
Fax: (559) 435-1422
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 550002083 California

Profile Details

NPI number 1659647808
LBN Legal business name South Fork Dialysis Llc
DBA Doing business as Herndon Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2012
Last updated Feb 17th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659647808 NPPES
California MEDICAID 1659647808

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