GILLETTE CHILDREN'S SPECIALTY HEALTHCARE – NPI #1295145902
Durable Medical Equipment & Medical Supplies

GILLETTE CHILDREN'S SPECIALTY HEALTHCARE is a DME supplier located in MANKATO, MN. NPPES has assigned the NPI number 1295145902 to GILLETTE CHILDREN'S SPECIALTY HEALTHCARE on May 02, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332BC3200X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment

The NPI profile was previously updated about 6 years ago on Dec 13, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GILLETTE CHILDREN'S SPECIALTY HEALTHCARE below.

NPI Profile for
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE

NPI Number
1295145902
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Primary location
1421 PREMIER DR
SUITE 100
MANKATO, MN 56001-6076
Phone: (507) 207-2700 Fax:
Mailing address
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101-2507
Phone: (651) 325-2177 Fax:
Organization Subpart
Yes - GILLETTE CHILDREN'S SPECIALTY HEALTHCARE is subpart of another organization.
Authorized Official
PATRICK NOLAN
CFO
Phone: (651) 312-3105
Updated
Certification Date
Dec 13, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332BC3200X
- Durable Medical Equipment & Medical Supplies / Customized Equipment (Primary)
335E00000X
- Prosthetic/Orthotic Supplier
332B00000X
- Durable Medical Equipment & Medical Supplies
261QM1300X
- Clinic/Center / Multi-Specialty

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.