Summit City Dialysis
LBN: Bridges Dialysis Llc
Summit City Dialysis is an health care organization with primary practice located at 3233 E Coliseum Blvd , Fort Wayne IN 46805-1561. 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) 373-1599, or through Winstel, John D via phone (253) 733-4501.
Contact Information
Primary practice address
3233 E Coliseum Blvd
Fort Wayne IN 46805-1561
Phone: (260) 373-1599
Fax: (260) 373-1555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1558635276 |
|---|---|
| LBN Legal business name | Bridges Dialysis Llc |
| DBA Doing business as | Summit City Dialysis |
| Authorized official | Winstel, John D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2012 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558635276 | NPPES |
| Indiana | MEDICAID | 201128730A |
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