HEMODIALYSIS ASSOC PC – NPI #1013004043
Clinic/Center

HEMODIALYSIS ASSOC PC is an AHC clinic located in PETERSBURG, VA. NPPES has assigned the NPI number 1013004043 to HEMODIALYSIS ASSOC PC on October 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 17 years ago on Jan 23, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEMODIALYSIS ASSOC PC below.

NPI Profile for
HEMODIALYSIS ASSOC PC

NPI Number
1013004043
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEMODIALYSIS ASSOC PC
Primary location
3335 S CRATER RD
PETERSBURG, VA 23805
Phone: (804) 862-5261 Fax:
Mailing address
425 SANDHURST DR
PETERSBURG, VA 23805-7862
Phone: (804) 861-9555 Fax: (804) 861-9555
Organization Subpart
No
Authorized Official
FREDERICK ENDE
PRESIDENT
Phone: (804) 861-9555
Updated
Identifiers

Identifiers for HEMODIALYSIS ASSOC PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM BC/BS005522
MEDICAIDVA8915229
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.