Organization
HEMODIALYSIS ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK IVAN ENDE MD (PRESIDENT)
(804) 861-9555
Entity
Organization
Contact information
Practice address
3335 S CRATER RD, PETERSBURY, VA 23805
(804) 862-5261
Mailing address
425 SANDHURST DR, PETERSBURG, VA 23805-7862
(804) 861-9555
(804) 861-9555
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005522
ANTHEM BC/BS
—
05
—
8915229
—
VA
Enumeration date
10/10/2006
Last updated
01/23/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us