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Prineville Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in East Stroudsburg, Pennsylvania
NPI 1538582051

Prineville Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, PA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Prineville Dialysis Llc practices in East Stroudsburg, PA. The NPI Number for Prineville Dialysis Llc is 1538582051 and holds a License No. (Pennsylvania).

The current practice location address for Prineville Dialysis Llc is 166 Eagles Glen Plz, East Stroudsburg, PA and can be reached out via phone at 570-424-5307 and via fax at 570-421-2561.

Location: 166 Eagles Glen Plz, East Stroudsburg, PA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538582051
Provider Name
Prineville Dialysis Llc
Credential
Provider Entity Type
Organization
Address
166 Eagles Glen Plz, East Stroudsburg, PA, 37027-7569
Phone Number
570-424-5307
Fax Number
570-421-2561
Provider Enumeration Date
02/04/2014
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1028331050002 05 PA
institution
Provider Business Practice Location Address Details
Address
166 Eagles Glen Plz
City
East Stroudsburg
State
Pennsylvania
Zip
18301-1349
Phone Number
570-424-5307
Fax Number
570-421-2561
person
Provider Business Mailing Address Details
Address
166 Eagles Glen Plz
City
East Stroudsburg
State
Pennsylvania
Zip
18301-1349
Phone Number
570-424-5307
Fax Number
570-421-2561
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.
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Definition
Definition to come...
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