Organization · Type 2 NPI
Prodigy Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Seward, PA
NPI number
1851645840
Active
Practice location
211 Thompson St
Seward, PA 15954-2053
Fax (814) 536-4751
Mailing address
88 Osborne St
Johnstown, PA 15905-4146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | MD042825E (PA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1851645840
Prodigy Dialysis's National Provider Identifier is 1851645840, issued on Oct 30, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Seward, PA. The record was last updated on Nov 9, 2012.