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

Active since April 23, 2009
1100 W HIGH ST, EBENSBURG, PA 15931(814) 419-8107(814) 419-8108 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prodigy Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRODIGY DIALYSIS (NPI 1184868051) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Ebensburg, Pennsylvania and active in the NPI registry since April 2009. The organization lists George J Frem, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1184868051
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePRODIGY DIALYSIS
Location Address1100 W HIGH STEbensburg, PA 15931-1706
Mailing Address88 Osborne StJohnstown, PA 15905-4146 · (814) 539-0798 · Fax (814) 536-4751
Fax(814) 419-8108
Organization SubpartNo
Authorized OfficialGeorge J FremMedical Director · (814) 539-0798
Enumeration DateApril 23, 2009
Last NPPES UpdateFebruary 5, 2013
NPI 1184868051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License Licensed in PA · MD042825E
1100 W HIGH ST, Ebensburg, PA 15931

Other Identifiers 1

Medicare UPIN392754PA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine (Sports Medicine)
1100 W HIGH ST
EBENSBURG, PA 15931
Family Medicine
1100 W HIGH ST
EBENSBURG, PA 15931
Family Medicine
1100 W HIGH ST
EBENSBURG, PA 15931
Family Medicine
1100 W HIGH ST
EBENSBURG, PA 15931
Home Health
1100 W HIGH ST, SUITE 105
EBENSBURG, PA 15931
Non-Pharmacy Dispensing Site
1100 W HIGH ST
EBENSBURG, PA 15931
Physician Assistant
1100 W HIGH ST
EBENSBURG, PA 15931
Family Medicine
1100 W HIGH ST
EBENSBURG, PA 15931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prodigy Dialysis's NPI number?

The NPI number for Prodigy Dialysis is 1184868051. It was assigned to this organization in the NPPES registry on April 23, 2009.

Where is Prodigy Dialysis located?

Prodigy Dialysis is located at 1100 W High St, Ebensburg, PA 15931. The listed phone number is (814) 419-8107.

What is Prodigy Dialysis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Prodigy Dialysis was last updated on February 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.