Organization
PENDSTER DIALYSIS LLC
Active
Other names
Huber Heights Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
7769 OLD COUNTRY CT, HUBER HEIGHTS, OH 45424-2097
(937) 237-0769
(937) 237-1981
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1119DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161592
—
OH
Enumeration date
10/20/2014
Last updated
04/29/2024
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