Prodigy Dialysis

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1902170525

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

Licensed in: PA
In the registry since: 2012

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Practice location Address checks out

387 Theatre Rd
Carrolltown, PA 15722-7805
Phone: (814) 539-0798
Fax: (814) 536-4751

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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 number	1902170525
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Cory Yacynych — Practice Manager · (814) 299-4676
NPI enumerated	February 29, 2012
Last updated in NPPES	September 25, 2012
Mailing address	88 Osborne St, Johnstown, PA 15905-4146