| Gillette Children's Specialty Healthcare | |
|
505 Paul Bunyan Dr Nw Bemidji MN 56601-2400 | |
| (651) 291-2848 | |
| Not Available |
| Full Name | Gillette Children's Specialty Healthcare |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 505 Paul Bunyan Dr Nw, Bemidji, 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: () - | Gillette Children's Specialty Healthcare 505 Paul Bunyan Dr Nw Bemidji MN 56601-2400 Ph: (651) 291-2848 |
| NPI Number | 1427557867 |
|---|---|
| Provider Enumeration Date | 02/11/2018 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 0547169211 |
|---|---|
| Medicare Enrollment ID | O20210727002928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427557867 | NPI | - | NPPES |
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