1871551028 NPI number — CORE NETWORK, LLC

Table of content: (NPI 1871551028)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871551028 NPI number — CORE NETWORK, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CORE NETWORK, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871551028
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3600 FORBES AVE STE 10072
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15213-3410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-864-5693
Provider Business Mailing Address Fax Number:
412-673-3319

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1622 LOCUST ST FL 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15219-5924
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-642-5460
Provider Business Practice Location Address Fax Number:
724-786-7689
Provider Enumeration Date:
05/03/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BIANCO
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT, OPERATIONS
Authorized Official Telephone Number:
412-647-4161

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 703642 . This is a "HIGHMARK (PT)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1514485 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1761232 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 261314 . This is a "HIGHMARK (ST)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 263048 . This is a "HIGHMARK (OT)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".