| Gillette Children's Specialty Healthcare | |
|
1420 London Rd Ste 210 Duluth MN 55805-2422 | |
| (218) 728-6160 | |
| (218) 724-6982 |
| Full Name | Gillette Children's Specialty Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1420 London Rd Ste 210, Duluth, 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 1420 London Rd Ste 210 Duluth MN 55805-2422 Ph: (218) 728-6160 |
| NPI Number | 1477612604 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 04/08/2026 |
| Medicare PECOS PAC ID | 0547169211 |
|---|---|
| Medicare Enrollment ID | O20210119001812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477612604 | NPI | - | NPPES |
| 11003700 | Medicaid | WI | |
| 235422100 | Medicaid | MN | |
| 1111HGI | Other | BLUE CROSS BLUE SHIELD | |
| 103632000 | Medicaid | MN | |
| 41683100 | Medicaid | WI |
Lake Superior Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4602 Grand Ave Ste 1000, Duluth, MN 55807 Phone: 218-336-3520 Fax: 218-624-6097 | |
Medexpress Primary Care Minnesota, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4316 Rice Lake Rd, Duluth, MN 55811 Phone: 952-205-1252 | |
St. Luke's Hospital Of Duluth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4702 Grand Ave, Duluth, MN 55807 Phone: 218-249-6800 | |
St. Luke's Hospital Of Duluth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 W Central Entrance, Duluth, MN 55811 Phone: 218-249-4987 | |
St. Luke's Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5232 | |
Arbor Integrative Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E 1st St Ste 105, Duluth, MN 55805 Phone: 218-722-1122 Fax: 218-722-0600 | |
Mission Creek Transitional Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Marshall St, Duluth, MN 55803 Phone: 218-340-8674 |