GILLETTE CHILDREN'S SPECIALTY HEALTHCARE (NPI# 1801109012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801109012 |
| Entity Type | Organization |
| Organization Name | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE |
| Practice Address |
15860 Audubon Way Baxter MN 56401-6943 |
| Mailing Address |
200 University Ave E Saint Paul MN 55101-2507 |
| Practice Telephone | 2188245001 |
| Practice Fax Number | 6513252174 |
| Mailing Telephone | 6512912848 |
| Mailing Fax Number | 6513252174 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | PATRICK NOLAN (CFO) |
| Authorized Official Telephone | 6513123105 |
| Is Organization Subpart | Y |
| Parent Organization Name | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Other Name | Type Code |
|---|---|
| Gillette Children's Specialty Healthcare Baxter Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427557867 | Gillette Children's Specialty Healthcare | Clinic/Center | 505 Paul Bunyan Dr Nw, Bemidji, MN 56601-2400 | 2018-02-11 |
| 1114267093 | Gillette Children's Specialty Healthcare | Clinic/Center | 12400 Whitewater Dr Ste 2030, Minnetonka, MN 55343-4159 | 2013-02-28 |
| 1598068819 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 1303 1st St S Ste 1, Willmar, MN 56201-3493 | 2010-12-08 |
| 1730363698 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 9550 Upland Lane North, Suite 220, Maple Grove, MN 55369 | 2007-12-27 |
| 1225119175 | Gillette Children's Specialty Healthcare | Clinic/Center | 200 East University Ave, St. Paul, MN 55101 | 2006-10-18 |
| 1891319943 | Gillette Children's Specialty Healthcare | Non-Pharmacy Dispensing Site | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-06-04 |
| 1235639113 | Gillette Children's Specialty Healthcare | Clinic/Center | 300 S Bruce St, Marshall, MN 56258-1934 | 2018-02-16 |
| 1528455128 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 1303 1st St S, Suite 1, Willmar, MN 56201-3492 | 2015-04-21 |
| 1215324983 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 2024 S 6th St, Brainerd, MN 56401-4529 | 2015-04-21 |
| 1194111724 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 300 S Bruce St, Marshall, MN 56258-1934 | 2015-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Gillette Children's Specialty Healthcare | 200 University Avenue East, St. Paul, MN 55101 |
| System for Award Management (SAM) Entities | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE | 200 University Ave E, Saint Paul, MN 55101-2507 |
| Street Address |
15860 AUDUBON WAY |
| City | BAXTER |
| State | MN |
| Zip Code | 56401-6943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634002 | Home Care Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 7942 College Rd, Suite 105, Baxter, MN 56425-8634 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975045 | Erin Michelle Shusta | Durable Medical Equipment & Medical Supplies | 8722 47th St Sw, Howard Lake, MN 55349-5203 | 2019-04-25 |
| 1538635248 | Baby's On Broadway | Durable Medical Equipment & Medical Supplies | 47 E Broadway, Little Falls, MN 56345-3046 | 2018-10-19 |
| 1104392398 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1875 Woodwinds Dr Ste 150, Woodbury, MN 55125-2518 | 2018-10-16 |
| 1588167886 | Wes Utility Services Inc | Durable Medical Equipment & Medical Supplies | 1064 140th Ave, Ogilvie, MN 56358-3568 | 2018-03-13 |
| 1528579869 | Anybattery Inc | Durable Medical Equipment & Medical Supplies | 2605 160th St W Ste 116, Rosemount, MN 55068-1632 | 2017-10-13 |
| 1801315650 | North Star Podiatric Laboratories Inc. | Durable Medical Equipment & Medical Supplies | 7400 Lyndale Ave S Ste 160, Richfield, MN 55423-4142 | 2017-09-13 |
| 1053831941 | Chanhassen Family Dentistry Pa | Durable Medical Equipment & Medical Supplies | 8116 Mallory Ct, Chanhassen, MN 55317-8586 | 2017-06-22 |
| 1972040319 | William Edward Goldberg | Durable Medical Equipment & Medical Supplies | 1254 Robert St S, 1260 South Robert Street, West St Paul, MN 55118-2448 | 2017-01-24 |
| 1639622814 | Berkshire Construction Company | Durable Medical Equipment & Medical Supplies | 2605 Fernbrook Ln N Ste A, Plymouth, MN 55447-4745 | 2016-07-25 |
| 1730541830 | Waldoch Crafts, Inc. | Durable Medical Equipment & Medical Supplies | 13821 Lake Dr Ne, Forest Lake, MN 55025-9444 | 2016-03-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.