NPI 1003119876

Bridges Dialysis LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Fort Wayne, IN

Practice location

Address: 302 E Pettit Ave, Fort Wayne, IN 46806-3007
Phone: (260) 456-0451
Fax: (260) 458-9269
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: John D Winstel
Title: Chief Accounting Officer
Phone: (253) 733-4501

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

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Registry record

NPI: 1003119876
Entity type: Organization
NPI issued: 16 Dec 2010
Record last updated: 17 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.