BRIDGES DIALYSIS LLC NPI 1093012544

NPI Information

BRIDGES DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Wayne, IN. BRIDGES DIALYSIS LLC NPI is 1093012544. The provider is registered as an organization entity type.
The provider Is Doing Business As Appleseed Dialysis.

The provider's business location address is:

1833 MAGNAVOX WAY
FORT WAYNE, IN
ZIP 46804-539
Phone: (260) 432-1036
Fax: (260) 432-2085

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 15D2022383 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2011 and was last updated on 10/4/2022.

Taxonomy Codes

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Other Identifiers

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