| Gillette Children's Heathcare St Paul | |
|
200 University Ave E Saint Paul MN 55101-2507 | |
| (651) 291-2848 | |
| (651) 325-2174 |
| Full Name | Gillette Children's Heathcare St Paul |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 University Ave E, Saint Paul, 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 Heathcare St Paul 200 University Ave E Saint Paul MN 55101-2507 Ph: (651) 291-2848 | Gillette Children's Heathcare St Paul 200 University Ave E Saint Paul MN 55101-2507 Ph: (651) 291-2848 |
| NPI Number | 1851450894 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 12/13/2019 |
| Medicare PECOS PAC ID | 0547169211 |
|---|---|
| Medicare Enrollment ID | O20100930045842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851450894 | NPI | - | NPPES |
| 11003700 | Medicaid | WI | |
| 41683100 | Medicaid | WI | |
| 473904840 | Medicaid | MI | |
| 351155000 | Medicaid | MN | |
| 9163630 | Medicaid | SD | |
| 0992263 | Medicaid | IA | |
| 1111HGI | Other | BLUE CROSS BLUE SHIELD | |
| 498935487 | Medicaid | MI | |
| 723998000 | Medicaid | MN | |
| 01267 | Medicaid | ND | |
| 41754000 | Medicaid | WI | |
| 51199 | Medicaid | ND |
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