SRS-PAYSON, LLC – NPI #1548835879
Clinic/Center

SRS-PAYSON, LLC is an AHC clinic located in PAYSON, UT. NPPES has assigned the NPI number 1548835879 to SRS-PAYSON, LLC on May 20, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 5 years ago on May 21, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SRS-PAYSON, LLC below.

NPI Profile for
SRS-PAYSON, LLC

NPI Number
1548835879
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SRS-PAYSON, LLC
Primary location
15 S 1000 E
PAYSON, UT 84651-5590
Phone: (888) 883-6407 Fax: (855) 631-0206
Mailing address
PO BOX 198813
NASHVILLE, TN 37219-8813
Phone: (615) 988-1060 Fax: (855) 631-0206
Organization Subpart
No
Authorized Official
JEROME TANNENBAUM
CEO AND CHAIRMAN OF THE BOARD
Phone: (615) 467-0140
Updated
Certification Date
May 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.