Organization
EAST END DIALYSIS CENTER INC
Active
Other names
East End Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
2201 E MAIN ST, STE 100, RICHMOND, VA 23223-7071
(804) 643-3055
(804) 643-3059
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4214
(866) 944-3352
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
05
—
1740244961
—
VA
Enumeration date
04/14/2006
Last updated
03/04/2020
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