SOUTH FORK DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Fresno, CA. SOUTH FORK DIALYSIS LLC NPI is 1659647808. The provider is registered as an organization entity type.
The provider Is Doing Business As Herndon Dialysis.
The provider's business location address is:
560 E HERNDON AVE
STE 101
FRESNO, CA
ZIP 93720-907
Phone: (559) 432-5278
Fax: (559) 435-1422
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 05D2043939 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/31/2012 and was last updated on 2/17/2022.