HEMODIALYSIS ASSOC PC - NPI 1013004043 - Clinic/Center in Petersbury, VA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

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About Hemodialysis Assoc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEMODIALYSIS ASSOC PC (NPI 1013004043) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Petersbury, Virginia and active in the NPI registry since October 2006. The organization lists Frederick Ivan Ende, President, as its authorized official.

NPPES Registry Identity

NPI1013004043

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameHEMODIALYSIS ASSOC PC

Location Address3335 S CRATER RDPetersbury, VA 23805

Mailing Address425 Sandhurst DrPetersburg, VA 23805-7862 · (804) 861-9555 · Fax (804) 861-9555

Phone(804) 862-5261

Organization SubpartNo

Authorized OfficialFrederick Ivan EndePresident · (804) 861-9555

Enumeration DateOctober 10, 2006

Last NPPES UpdateJanuary 23, 2009

✔ NPI 1013004043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

3335 S CRATER RD, Petersbury, VA 23805

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Other Identifiers 3

Other005522Anthem Bc/bs

Medicaid8915229VA

Medicare PINC00903VA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY ASHLEY

Family Medicine