Organization · Type 2 NPI

American Fork Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · American Fork, UT

NPI number 1306025499 Active

Practice location

1175 E 50 S Ste 111
American Fork, UT 84003-2846

Call (801) 763-1304 Map

Fax (801) 763-1305

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1306025499
Entity type: Organization (Type 2)
Issued: Oct 25, 2007
Last updated: Sep 11, 2025
Status: Active

Other names

<unavail>
Lone Peak Dialysis · doing business as
Lone Peak Dialysis · doing business as

Authorized official

Samuel T. Wey
VP, Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306025499

American Fork Dialysis LLC's National Provider Identifier is 1306025499, issued on Oct 25, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in American Fork, UT. The record was last updated on Sep 11, 2025.