Prodigy Dialysis in Johnstown - End-stage Renal Disease (esrd) Treatment
Prodigy Dialysis - NPI 1043393440
Prodigy Dialysis is a End-stage Renal Disease (esrd) Treatment in Johnstown, Pennsylvania. Prodigy Dialysis practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Prodigy Dialysis is 1043393440. The last update date is 2013-02-05.
Prodigy Dialysis's current location address is 105 Metzler St, Johnstown, Pennsylvania. You can contact this provider via phone number 8145390798 and fax number 8145364751. The mailing address for Prodigy Dialysis is 105 Metzler St, Johnstown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prodigy Dialysis |
|---|---|
| Address | 105 Metzler St, Johnstown, Pennsylvania |
| Phone Number | 8145390798 |
| Fax Number | 8145364751 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Frem Joseph George |
| Credentials | MD |
| Telephone Number | 8145390798 |
NPI Number Detail
| NPI Number | 1043393440 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2013-02-05 |
Provider Mailing Address Detail
| Address | 105 Metzler St |
|---|---|
| City | Johnstown |
| State | Pennsylvania (PA) |
| Post Code | 159043124 |
| Phone Number | 8145390798 |
| Fax Number | 8145364751 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | MD042825E |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Prodigy Dialysis by the Centers for Medicare & Medicaid Services?
The Prodigy Dialysis has been assigned the NPI (National Provider Identifier) 1043393440 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Prodigy Dialysis is physically located?
The Prodigy Dialysis is situated at the following address: 105 Metzler St, Johnstown, PA 159043124.
What is Prodigy Dialysis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Prodigy Dialysis is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date was the 1043393440 assigned to Prodigy Dialysis?
The Prodigy Dialysis was issued its 1043393440 on 2006-10-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Prodigy Dialysis most recently updated?
The details pertaining to the Prodigy Dialysis, including its address, specialty, and other relevant information, were last refreshed on 2013-02-05.