OrganizationActive
Centercore Medical LLC
NPI 1306161427 · Prosthetic/Orthotic Supplier · Herrin, IL
Centercore Medical LLC is a Prosthetic/Orthotic Supplier organization in Herrin, IL (NPI 1306161427).
Provider details
- NPI number
- 1306161427
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Corene Mavigliano, Owner(618) 713-6286
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
720 S Park Ave
Herrin, IL 62948-3816
Phone: (618) 713-6286
Fax: (618) 985-4636
Street-level locationGet directions
Mailing address
704 Grace Ln
Carterville, IL 62918-1058
Registry dates
- Enumerated
- 2010-03-31
- Last updated
- 2010-03-31
Frequently asked questions
- What is Centercore Medical LLC's NPI number?
- Centercore Medical LLC's National Provider Identifier (NPI) is 1306161427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centercore Medical LLC?
- Centercore Medical LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Centercore Medical LLC located?
- Centercore Medical LLC's practice location on file with NPPES is 720 S Park Ave, Herrin, IL 62948-3816.
- What is Centercore Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Centercore Medical LLC is (618) 713-6286.
- Who is the authorized official for Centercore Medical LLC?
- The authorized official listed on Centercore Medical LLC's NPPES record is Corene Mavigliano, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centercore Medical LLC's NPI active?
- Yes — Centercore Medical LLC's NPI (1306161427) is active in the NPPES registry as of the last update on 2010-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.