National Provider Identifier Database

GILLETTE CHILDRENS SPECIALTY HEALTHCARE
Children

Contact Information

GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
200 UNIVERSITY AVE E
SAINT PAUL, MN  55101-2507
Phone: 651-291-2848
Fax: 651-325-2174
Website:
Specialty Taxonomy Code
* Children 282NC2000X
Customized Equipment 332BC3200X
Multi-Specialty 261QM1300X
Prosthetic/Orthotic Supplier 335E00000X
Rehabilitation Unit 273Y00000X
Special Hospital 284300000X

* Indicates primary specialty

NPI Profile & details for GILLETTE CHILDREN'S SPECIALTY HEALTHCARE

NPI Number 1447352836
Legal business name
LBN		 GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Authorized official PATRICK NOLAN - (CFO)
Entity Organization
Organization subpart No
Enumeration date 09/05/2006
Last updated 07/08/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 0520726
  • MN Medicaid: 996047300
  • MT Medicaid: 0418080
  • WI Medicaid: 11003700
  • Other: 2427462 PHARMACY-NCPDP
  • MN Other: 1111HGI BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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