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Prodigy Dialysis

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Carrolltown, PA · enumerated 2012 · authorized official Cory Yacynych, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902170525

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Registry record

Entity type Organization (Type 2)
Legal business name Prodigy Dialysis
Practice address 387 Theatre Rd, Carrolltown, PA, 15722
Phone (814) 539-0798
Fax (814) 536-4751
Enumeration date Feb 29, 2012
Last updated in NPPES Sep 25, 2012

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities · License MD042825E (PA) Primary

Authorized official

Name Cory Yacynych
Title Practice Manager
Phone (814) 299-4676

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Prodigy Dialysis?
NPPES lists Cory Yacynych (Practice Manager) as the authorized official for this organization.
What is the NPI number for Prodigy Dialysis?
The NPI for Prodigy Dialysis is 1902170525, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-25.