Gillette Children'S Specialty Healthcare

LBN: Gillette Children'S Specialty Healthcare
Gillette Children'S Specialty Healthcare is an health care organization with primary practice located at 1420 London Rd , Duluth MN 55805-2433. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Gillette Children'S Specialty Healthcare can be contacted via phone (218) 728-6160, or through Nolan, Patrick via phone (651) 312-3105.

Contact Information

Primary practice address
1420 London Rd Duluth MN 55805-2433
Phone: (218) 728-6160
Fax: (218) 724-6982
Website:
Map and Directions
Authorized official contact:
Name: Nolan, Patrick
Phone: (651) 312-3105

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Minnesota
Suppliers / Customized Equipment 332BC3200X Minnesota
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Minnesota

Profile Details

NPI number 1477612604
LBN Legal business name Gillette Children'S Specialty Healthcare
DBA Doing business as
Authorized official Nolan, Patrick
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 6th, 2006
Last updated Dec 13th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477612604 NPPES
Wisconsin MEDICAID 11003700
Wisconsin MEDICAID 235422100
Wisconsin Other 1111HGI
Wisconsin MEDICAID 103632000
Wisconsin MEDICAID 41683100

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