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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477612604 | NPPES |
| Wisconsin | MEDICAID | 11003700 | |
| Wisconsin | MEDICAID | 235422100 | |
| Wisconsin | Other | 1111HGI | |
| Wisconsin | MEDICAID | 103632000 | |
| Wisconsin | MEDICAID | 41683100 |
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