Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist | |
Rehabilitation Unit |
273Y00000X | A0[7] | Hospital-Rehabilitation Unit | |
Special Hospital |
284300000X | A0[7] | Hospital-Specialty Hospital (cardiac, orthopedic, surgical) |
| NPI # | 1447352836 |
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| LBN Legal business name | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE | ||||||||||||||||||||||||
| Authorized official | PATRICK NOLAN - (CFO) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 09/05/2006 | ||||||||||||||||||||||||
| Last updated | 07/08/2020 - About 6 years ago | ||||||||||||||||||||||||
| Identifiers |
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