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 1811261431

Prodigy Dialysis is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Everett, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012

Practice location Address checks out

119 Spring Ln
Everett, PA 15537-6938
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 number1811261431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Yacynych — Practice Manager · (814) 299-4676
NPI enumeratedFebruary 29, 2012
Last updated in NPPESApril 12, 2012
Mailing address88 Osborne St, Johnstown, PA 15905-4146

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