Organization · Type 2 NPI
Bridges Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Wayne, IN
NPI number
1093012544
Active
Practice location
1833 Magnavox Way
Fort Wayne, IN 46804-1539
Fax (260) 432-2085
Mailing address
5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1093012544
Bridges Dialysis LLC's National Provider Identifier is 1093012544, issued on Feb 18, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 4, 2022.