| Gillette Children's Specialty Healthcare | |
|
200 University Ave E Saint Paul MN 55101-2507 | |
| (651) 291-2848 | |
| (651) 325-2174 |
| Full Name | Gillette Children's Specialty Healthcare |
|---|---|
| Speciality | General Acute Care Hospital |
| 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 Specialty Healthcare 200 University Ave E Saint Paul MN 55101-2507 Ph: (651) 291-2848 | Gillette Children's Specialty Healthcare 200 University Ave E Saint Paul MN 55101-2507 Ph: (651) 291-2848 |
| NPI Number | 1447352836 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 07/08/2020 |
| Medicare PECOS PAC ID | 0547169211 |
|---|---|
| Medicare Enrollment ID | O20060505000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447352836 | NPI | - | NPPES |
| 0520726 | Medicaid | IA | |
| 1111HGI | Other | MN | BLUE CROSS BLUE SHIELD |
| 2427462 | Other | PHARMACY-NCPDP | |
| 996047300 | Medicaid | MN | |
| 11003700 | Medicaid | WI | |
| 0418080 | Medicaid | MT |
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