BRIDGES DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Wayne, IN. BRIDGES DIALYSIS LLC NPI is 1003119876. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Wayne South Dialysis.
The provider's business location address is:
302 E PETTIT AVE
FORT WAYNE, IN
ZIP 46806-007
Phone: (260) 456-0451
Fax: (260) 458-9269
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 15D2022385 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/16/2010 and was last updated on 11/17/2021.