Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prodigy Dialysis

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1043393440

Prodigy Dialysis is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Johnstown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

105 Metzler St
Johnstown, PA 15904-3124
Phone: (814) 539-0798
Fax: (814) 536-4751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence MD042825E (PA)

Record details

NPI number1043393440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Frem — Medical Director · (814) 539-0798
NPI enumeratedOctober 23, 2006
Last updated in NPPESFebruary 5, 2013
Mailing address105 Metzler St, Johnstown, PA 15904-3124

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