Gillette Children'S Specialty Healthcare

Organization Deactivated
NPI 1598824880
Multi-Specialty Clinic/Center Minnetonka, MN

Gillette Children'S Specialty Healthcare holds NPI 1598824880, with a primary taxonomy of multi-specialty clinic/center and a practice location in Minnetonka, MN. The number was issued on December 6, 2006 and the NPPES record was last updated on December 13, 2019. The record lists 4 taxonomy codes. This NPI was deactivated on October 1, 2026.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X (MN)
Durable Medical Equipment & Medical Supplies 332B00000X (MN)
Customized Equipment (DME) 332BC3200X (MN)
Prosthetic/Orthotic Supplier 335E00000X (MN)

Practice location

6060 Clearwater Dr
Minnetonka, MN 55343-9442
Phone: (952) 936-0977

Record history

Status
Deactivated
NPI issued
Last updated in NPPES
Deactivated

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NPPES data as of · Source: CMS NPPES

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