Organization · Type 2 NPI

Prodigy Dialysis

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Johnstown, PA

NPI number 1023065554 Active

Practice location

1111 Franklin St, Suite 220
Johnstown, PA 15905-4330

Fax (814) 536-4751

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1023065554

Prodigy Dialysis's National Provider Identifier is 1023065554, issued on May 29, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Johnstown, PA. The record was last updated on Aug 22, 2020.