GILLETTE CHILDREN'S SPECIALTY HEALTHCARE NPI 1740349042

NPI Information

NPI: 1740349042
Provider Name: GILLETTE CHILDREN'S SPECIALTY HEALTHCARE

Doing Business As: GILLETTE CHILDREN'S HEALTHCARE-BURNSVILLE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
305 E NICOLLET BLVD
SUITE 200
BURNSVILLE, MN
ZIP 55337
Phone: (952) 223-3400
Get Directions

GILLETTE CHILDREN'S SPECIALTY HEALTHCARE is a multi-specialty clinic center in Burnsville, MN. GILLETTE CHILDREN'S SPECIALTY HEALTHCARE NPI is 1740349042. The provider is registered as an organization entity type.
The provider Is Doing Business As Gillette Children's Healthcare-burnsville.

The provider's business location address is:

305 E NICOLLET BLVD
SUITE 200
BURNSVILLE, MN
ZIP 55337-327
Phone: (952) 223-3400
Fax: (952) 223-3405

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 12/6/2006 and was last updated on 12/13/2019.

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 State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty		Yes
2	332B00000X	Durable Medical Equipment & Medical Supplies		MINNESOTA	No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	MINNESOTA	No
4	335E00000X	Prosthetic/Orthotic Supplier		MINNESOTA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11003700	MEDICAID	WISCONSIN
2	1111HGI	OTHER		BLUE CROSS BLUE SHIELD
3	366138000	MEDICAID	MINNESOTA
4	578182000	MEDICAID	MINNESOTA
5	41683100	MEDICAID	WISCONSIN

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

NPI Synchronization or Removal

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