Gillette Childrens Specialty Healthcare
NPI #1760541700 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1760541700
- Entity Type
- Organization
- Organization Name
- Gillette Childrens Specialty Healthcare
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Dec 13, 2019
Practice Location
- Address
- 435 PHALEN BLVD
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55130-5302
- Phone
- (651) 636-9443
Authorized Official
- Name
- PATRICK NOLAN
- Title
- CFO
- Phone
- (651) 312-3105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Durable Medical Equipment & Medical Supplies |
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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