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Srs-American Fork, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in American Fork, UT · enumerated 2021 · authorized official Jerome Tannenbaum, Ceo and Chairman of the Board.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720653942

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Registry record

Entity type Organization (Type 2)
Legal business name Srs-American Fork, LLC
Practice address 1159 E 200 N, American Fork, UT, 84003
Fax (855) 631-0206
Enumeration date May 20, 2021
Last updated in NPPES May 21, 2021

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jerome Tannenbaum
Title Ceo and Chairman of the Board

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Srs-American Fork, LLC?
The NPI for Srs-American Fork, LLC is 1720653942, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Srs-American Fork, LLC?
NPPES lists Jerome Tannenbaum (Ceo and Chairman of the Board) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-21.