Organization · Type 2 NPI

Duston Dialysis, LLC

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

NPI number 1558716019 Active

Practice location

415 E Dupont Rd
Fort Wayne, IN 46825-2051

Call (260) 637-0431 Map

Fax (260) 637-6641

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: 1558716019
Entity type: Organization (Type 2)
Issued: May 3, 2016
Last updated: Apr 5, 2024
Status: Active

Other names

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

Authorized official

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

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About NPI 1558716019

Duston Dialysis, LLC's National Provider Identifier is 1558716019, issued on May 3, 2016. 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 Apr 5, 2024.