| Gillette Children's Specialty Healthcare | |
|
9550 Upland Lane North Suite 220 Maple Grove MN 55369 | |
| (651) 291-2848 | |
| Not Available |
| Full Name | Gillette Children's Specialty Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 9550 Upland Lane North, Maple Grove, 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 9550 Upland Lane North Suite 220 Maple Grove MN 55369 Ph: (651) 291-2848 |
| NPI Number | 1730363698 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 12/13/2019 |
| Medicare PECOS PAC ID | 0547169211 |
|---|---|
| Medicare Enrollment ID | O20100930098169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730363698 | NPI | - | NPPES |
| 1111HGI | Other | MN | BLUE CROSS |
| 347487000 | Medicaid | MN |
Children's Clinic Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338 | |
Mh Health Care Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Scimed Pl, Maple Grove, MN 55311 Phone: 763-250-7561 | |
Digestive Endoscopy, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17322 91st Ave N, Maple Grove, MN 55311 Phone: 763-416-0399 Fax: 763-416-0399 | |
Yourtime Psychiatry And Medical Cannabis Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6341 Ithaca Ln N, Maple Grove, MN 55311 Phone: 612-458-3374 | |
Skyline Mental Health Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10944 Quantico Ln N, Maple Grove, MN 55369 Phone: 763-445-4693 | |
Park Nicollet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440 | |
Stepping Stone Support Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11901 Central Park Way Unit 2427, Maple Grove, MN 55369 Phone: 267-577-2718 |