| Gillette Children's Specialty Healthcare | |
|
15860 Audubon Way Baxter MN 56401-6943 | |
| (218) 824-5001 | |
| (651) 325-2174 |
| Full Name | Gillette Children's Specialty Healthcare |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 15860 Audubon Way, Baxter, 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 Specialty Healthcare 200 University Ave E Saint Paul MN 55101-2507 Ph: (651) 291-2848 | Gillette Children's Specialty Healthcare 15860 Audubon Way Baxter MN 56401-6943 Ph: (218) 824-5001 |
| NPI Number | 1801109012 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 12/13/2019 |
| Medicare PECOS PAC ID | 0547169211 |
|---|---|
| Medicare Enrollment ID | O20130419000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801109012 | NPI | - | NPPES |
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