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 15219-2740
(412) 623-6303
(412) 623-6369
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
282NC2000X
Children's Hospital
Primary
291201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060304
UNISON HEALTH PLAN
PA
05
—
0001649000
—
WV
05
—
0010928
—
OH
01
—
0012586
AETNA
—
01
—
0029
HIGHMARK BLUE CROSS BLUE
—
05
—
00311869X
—
GA
05
—
00429603
—
NY
05
—
092432600
—
FL
05
—
1007347990059
—
PA
01
—
22
UPMC COMMERCIAL
PA
01
—
22
UPMC FOR KIDS
—
01
—
39330202
HEALTHAMERICA
—
05
—
4201515
—
NJ
01
—
46272
GATEWAY HEALTH PLAN
—
Enumeration date
06/10/2005
Last updated
11/27/2023
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