PRODIGY DIALYSIS
NPI 1184868051
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ebensburg, PA

NPI Status: Active since April 23, 2009

Contact Information

1100 W HIGH ST
EBENSBURG, PA
ZIP 15931
Phone: (814) 419-8107
Fax: (814) 419-8108

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About PRODIGY DIALYSIS

This page provides the complete NPI Profile along with additional information for Prodigy Dialysis, a provider established in Ebensburg, Pennsylvania operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1184868051 assigned on April 2009. The practitioner's primary taxonomy code is 261QE0700X with license number MD042825E (PA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. George J Frem Md (Medical Director)

NPI
1184868051
Provider Name
PRODIGY DIALYSIS
Entity Type
Organization
Location Address
1100 W HIGH ST EBENSBURG, PA 15931
Location Phone
(814) 419-8107
Location Fax
(814) 419-8108
Mailing Address
88 OSBORNE ST JOHNSTOWN, PA 15905
Mailing Phone
(814) 539-0798
Mailing Fax
(814) 419-8108
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2009
Last Update Date
02-05-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
MD042825E
License State
PA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GEORGE J FREM MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(814) 539-0798

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
392754MEDICARE UPIN (02)PA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184868051
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2116416616010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 6 + 6 + 1 + 6 + 0 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1184868051 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

ALLEGHENY HOME HEALTH, INC.

Home Health

1100 W HIGH ST
SUITE 105
EBENSBURG, PA
ZIP 15931

(814) 471-2877

MAGLEY FAMILY PRACTICE, INC

Family Medicine

1100 W HIGH ST
EBENSBURG, PA
ZIP 15931

(814) 472-7320

ROBERT SCOTT MAGLEY MD

Emergency Medicine

(Sports Medicine)

1100 W HIGH ST
EBENSBURG, PA
ZIP 15931

(814) 472-7320

CONEMAUGH HEALTH INITIATIVES

Non-Pharmacy Dispensing Site

1100 W HIGH ST
EBENSBURG, PA
ZIP 15931

(814) 472-7933

ENRIQUE KOH MD

Family Medicine

1100 W HIGH ST
EBENSBURG, PA
ZIP 15931

(814) 472-7933

MRS. JULIE ANNE REITNAUER PA-C

Physician Assistant

1100 W HIGH ST
EBENSBURG, PA
ZIP 15931

(814) 472-7933

CONEMAUGH HEALTH INITIATIVES

Family Medicine

1100 W HIGH ST
EBENSBURG, PA
ZIP 15931

(814) 472-7933

ROBERT C MAGLEY, MD, PC

Family Medicine

1100 W HIGH ST
EBENSBURG, PA
ZIP 15931

(814) 472-7320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184868051, enumerated as an "organization" on April 23, 2009.

The provider is located at 1100 W HIGH ST EBENSBURG, PA 15931 and the phone number is (814) 419-8107.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.