Randolph Dialysis LLC
Randolph Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Wayne, Indiana. Medicare rates this dialysis facility 2 out of 5. Registered with an NPI since 2014.
- CMS rating
- 2 of 5
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
6721 Old Trail Rd Ste 100Fort Wayne, IN 46809-2655
Phone: (260) 478-8582
Fax: (260) 478-8566
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X |
|---|
Record details
| NPI number | 1659796233 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Winstel — Chief Accounting Officer · (253) 733-4501 |
| Other names | Three Rivers Dialysis; Three Rivers Dialysis |
| NPI enumerated | February 19, 2014 |
| Last updated in NPPES | December 15, 2022 |
| Certification date | December 15, 2022 |
| Mailing address | 5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569 |
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