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Contact Information

GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
200 UNIVERSITY AVE E
SAINT PAUL, MN55101-2507
 Phone: 651-291-2848
 Fax: 651-325-2174
 Website:
 

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)
Indicates primary specialty

NPI Profile & details for GILLETTE CHILDREN'S SPECIALTY HEALTHCARE

NPI # 1447352836
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
IA Medicaid 0520726
MN Medicaid 996047300
MT Medicaid 0418080
WI Medicaid 11003700
Other 2427462 PHARMACY-NCPDP
MN Other 1111HGI BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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