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GILLETTE CHILDREN'S SPECIALTY HEALTHCARE NPI 1588050280


NPI Information

NPI: 1588050280
Provider Name: GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 24D2082801

Address:
1500 IRVING ST
ALEXANDRIA, MN
ZIP 56308
Phone: (320) 762-6085
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GILLETTE CHILDREN'S SPECIALTY HEALTHCARE is a prosthetic orthotic supplier in Alexandria, MN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. GILLETTE CHILDREN'S SPECIALTY HEALTHCARE NPI is 1588050280. The provider is registered as an organization entity type.

The provider's business location address is:

1500 IRVING ST
ALEXANDRIA, MN
ZIP 56308-046
Phone: (320) 762-6085

The provider's authorized official is Patrick Nolan .
The authorized official title is Cfo and has the following contact phone number (651) 312-3105.

The CLIA number assigned to this NPI record is 24D2082801 - other - clinical research process with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2015 and was last updated on 12/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
4335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.