Organization · Type 2 NPI

Fairfield Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jacksonville, FL

NPI number 1639448467 Active

Practice location

929 University Blvd N
Jacksonville, FL 32211-5529

Call (904) 743-1689 Map

Fax (904) 743-1570

Mailing address

5200 Virginia Way, 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...

Another provider at this address

Anna Young, RDRegistered Dietitian Jacksonville, FL NPI 1467332197

Other end-stage renal disease (esrd) treatment clinic/center providers in Jacksonville

See all in Jacksonville →

NPI record

NPI: 1639448467
Entity type: Organization (Type 2)
Issued: Dec 23, 2011
Last updated: Feb 18, 2026
Status: Active

Other names

<unavail>
Jacksonville Arlington Dialysis · doing business as
Jacksonville Arlington Dialysis · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1639448467

Fairfield Dialysis LLC's National Provider Identifier is 1639448467, issued on Dec 23, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 18, 2026.