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Prodigy Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ebensburg, Pennsylvania
NPI 1184868051

Prodigy Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Johnstown, PA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Prodigy Dialysis practices in Ebensburg, PA. The NPI Number for Prodigy Dialysis is 1184868051 and holds a License No. MD042825E (Pennsylvania).

The current practice location address for Prodigy Dialysis is 1100 W High St, Ebensburg, PA and can be reached out via phone at 814-419-8107 and via fax at 814-419-8108.

Location: 1100 W High St, Ebensburg, PA, 15905-4146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184868051
Provider Name
Prodigy Dialysis
Credential
Provider Entity Type
Organization
Address
1100 W High St, Ebensburg, PA, 15905-4146
Phone Number
814-419-8107
Fax Number
814-419-8108
Provider Enumeration Date
04/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 W High St
City
Ebensburg
State
Pennsylvania
Zip
15931-1706
Phone Number
814-419-8107
Fax Number
814-419-8108
person
Provider Business Mailing Address Details
Address
1100 W High St
City
Ebensburg
State
Pennsylvania
Zip
15931-1706
Phone Number
814-419-8107
Fax Number
814-419-8108
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
MD042825E (Pennsylvania)
Definition
Definition to come...
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