Organization · Type 2 NPI

Prodigy Dialysis

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

NPI number 1043393440 Active

Practice location

105 Metzler St
Johnstown, PA 15904-3124

Call (814) 539-0798 Map

Fax (814) 536-4751

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XMD042825E (PA)

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

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About NPI 1043393440

Prodigy Dialysis's National Provider Identifier is 1043393440, issued on Oct 23, 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 17, 2026.