Organization · Type 2 NPI

Prodigy Dialysis

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

NPI number 1902170525 Active

Practice location

387 Theatre Rd
Carrolltown, PA 15722-7805

Call (814) 539-0798 Map

Fax (814) 536-4751

Mailing address

88 Osborne St
Johnstown, PA 15905-4146

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...

5 other providers at this address

About NPI 1902170525

Prodigy Dialysis's National Provider Identifier is 1902170525, issued on Feb 29, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Carrolltown, PA. The record was last updated on Sep 25, 2012.