Organization · Type 2 NPI

Bridges Dialysis LLC

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

NPI number 1366745630 Active

Practice location

4916 Illinois Rd, Ste 118
Fort Wayne, IN 46804-5116

Call (260) 434-0483 Map

Fax (260) 435-1527

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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NPI record

NPI: 1366745630
Entity type: Organization (Type 2)
Issued: Dec 8, 2010
Last updated: Jul 13, 2026
Status: Active

Other names

<unavail>
Fort Wayne West Dialysis · doing business as
Fort Wayne West Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366745630

Bridges Dialysis LLC's National Provider Identifier is 1366745630, issued on Dec 8, 2010. 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 Jul 13, 2026.