Organization · Type 2 NPI
Gillette Children's Specialty Healthcare
Customized Equipment (DME) · Baxter, MN
NPI number
1801109012
Active
Practice location
15860 Audubon Way
Baxter, MN 56401-6943
Fax (651) 325-2174
Mailing address
200 University Ave E
St. Paul, MN 55101-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
| Prosthetic/Orthotic Supplier | 335E00000X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1801109012
Gillette Children's Specialty Healthcare's National Provider Identifier is 1801109012, issued on Jul 16, 2010. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Baxter, MN. The record was last updated on Dec 13, 2019.