Organization · Type 2 NPI

Gillette Children's Specialty Healthcare

Multi-Specialty Clinic/Center · Burnsville, MN

NPI number 1740349042 Active

Practice location

305 E Nicollet Blvd, Suite 200
Burnsville, MN 55337-8327

Call (952) 223-3400 Map

Fax (952) 223-3405

Mailing address

200 University Ave E
St. Paul, MN 55101-2507

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Customized Equipment (DME)	332BC3200X	None listed
Prosthetic/Orthotic Supplier	335E00000X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

Erica Emily Eisenman, PSY.D.Clinical Psychologist Burnsville, MN NPI 1891193454

Other multi-specialty clinic/center providers in Burnsville

See all in Burnsville →

NPI record

NPI: 1740349042
Entity type: Organization (Type 2)
Issued: Dec 6, 2006
Last updated: Dec 13, 2019
Status: Active
Subpart: Yes of Gillette Children's Speciality Healthcare

Other names

<unavail>
Gillette Children's Healthcare-Burnsville · doing business as

Authorized official

Patrick Nolan
CFO
(651) 312-3105

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1740349042

Gillette Children's Specialty Healthcare's National Provider Identifier is 1740349042, issued on Dec 6, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Burnsville, MN. The record was last updated on Dec 13, 2019.