| Gillette Children's Healthcare Willmar | |
|
1303 1st St S Ste 1 Willmar MN 56201-3493 | |
| (651) 634-1938 | |
| Not Available |
| Full Name | Gillette Children's Healthcare Willmar |
|---|---|
| Speciality | Prosthetic/Orthotic Supplier |
| Location | 1303 1st St S Ste 1, Willmar, Minnesota |
| Authorized Official Name and Position | Patrick Nolan (CFO) |
| Authorized Official Contact | 6513123105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gillette Children's Healthcare Willmar 200 University Ave E Saint Paul MN 55101-2507 Ph: (651) 291-2848 | Gillette Children's Healthcare Willmar 1303 1st St S Ste 1 Willmar MN 56201-3493 Ph: (651) 634-1938 |
| NPI Number | 1598068819 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 12/13/2019 |
| Medicare PECOS PAC ID | 0547169211 |
|---|---|
| Medicare Enrollment ID | O20210504001480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598068819 | NPI | - | NPPES |
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