Fort Wayne South Dialysis

LBN: Bridges Dialysis Llc
Fort Wayne South Dialysis is an health care organization with primary practice located at 302 E Pettit Ave , Fort Wayne IN 46806-3007. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Bridges Dialysis Llc can be contacted via phone (260) 456-0451, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
302 E Pettit Ave Fort Wayne IN 46806-3007
Phone: (260) 456-0451
Fax: (260) 458-9269
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1003119876
LBN Legal business name Bridges Dialysis Llc
DBA Doing business as Fort Wayne South Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2010
Last updated Nov 17th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003119876 NPPES
Indiana MEDICAID 201048390A

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