Prineville Dialysis LLC
NPI #1679829493 in Bartonsville, Pennsylvania
Provider Information
- NPI Number
- 1679829493
- Entity Type
- Organization
- Organization Name
- Prineville Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 30, 2012
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 3361 ROUTE 611
- Address 2
- STE 1
- City
- Bartonsville
- State
- Pennsylvania
- ZIP Code
- 18321-7821
- Phone
- (570) 629-1292
Authorized Official
- Name
- SAMUEL WEY
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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