Organization
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO WILFONG (CFO)
(412) 692-5013
Entity
Organization
Contact information
Practice address
4401 PENN AVE, PITTSBURGH, PA 15224
(412) 432-7469
Mailing address
600 GRANT STREET, US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15251-8007
(412) 623-6303
(412) 623-6369
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
291201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056144
UNISON HEALTH PLAN
PA
05
—
1007347990060
—
PA
Enumeration date
12/26/2006
Last updated
11/27/2023
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