Centercore Medical Llc

LBN: Centercore Medical Llc
Centercore Medical Llc is an health care organization with primary practice located at 720 S Park Ave , Herrin IL 62948-3816. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Centercore Medical Llc can be contacted via phone (618) 713-6286, or through Mavigliano, Corene via phone (618) 713-6286.

Contact Information

Primary practice address
720 S Park Ave Herrin IL 62948-3816
Phone: (618) 713-6286
Fax: (618) 985-4636
Website:
Map and Directions
Authorized official contact:
Name: Mavigliano, Corene
Phone: (618) 713-6286

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1306161427
LBN Legal business name Centercore Medical Llc
DBA Doing business as
Authorized official Mavigliano, Corene
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2010
Last updated Mar 31st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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