| Gillette Children's Specialty Healthcare | |
|
1421 Premier Dr Suite 100 Mankato MN 56001-6076 | |
| (507) 207-2700 | |
| Not Available |
| Full Name | Gillette Children's Specialty Healthcare |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1421 Premier Dr, Mankato, 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) 325-2177 | Gillette Children's Specialty Healthcare 1421 Premier Dr Suite 100 Mankato MN 56001-6076 Ph: (507) 207-2700 |
| NPI Number | 1295145902 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 12/13/2019 |
| Medicare PECOS PAC ID | 0547169211 |
|---|---|
| Medicare Enrollment ID | O20170228002352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295145902 | NPI | - | NPPES |
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