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Bridges Dialysis LLC — NPI 1003119876, Fort Wayne, IN | NPI Central

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NPI 1003119876

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Bridges Dialysis LLC

NPI 1003119876 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Wayne, IN

Provider details

NPI number: 1003119876
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: John Winstel, Chief Accounting Officer(253) 733-4501

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700X
Ambulatory Health Care Facilities

Practice location

302 E Pettit Ave

Fort Wayne, IN 46806-3007

Phone: (260) 456-0451

Fax: (260) 458-9269

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

5200 Virginia Way

Brentwood, TN 37027-7569

Other names (DBA / former)

Doing business as: Fort Wayne South Dialysis
Doing business as: Fort Wayne South Dialysis

Registry dates

Enumerated: 2010-12-16
Last updated: 2021-11-17
Certified: 2021-11-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.