Provider Type Icon

GILLETTE CHILDREN'S SPECIALTY HEALTHCARE NPI 1982090528


NPI Information

NPI: 1982090528
Provider Name: GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303
Phone: (651) 634-1938
Get Directions

GILLETTE CHILDREN'S SPECIALTY HEALTHCARE is a prosthetic orthotic supplier in Saint Cloud, 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 1982090528. The provider is registered as an organization entity type.

The provider's business location address is:

1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303-000
Phone: (651) 634-1938

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 enumeration date for this NPI number is 4/10/2015 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3335E00000XProsthetic/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: 4/28/2024

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.