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 |
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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 |
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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 |
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Provider Enumeration Date | 12/08/2010 |
Last Update Date | 12/13/2019 |
Medicare PECOS PAC ID | 0547169211 |
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Medicare Enrollment ID | O20210504001480 |
Identifier | Type | State | Issuer |
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1598068819 | NPI | - | NPPES |
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