Gillette Children's Healthcare Mntk is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Minnetonka, Minnesota. This organization is also known as sub part of Gillette Children's Specialty Healthcare. It is situated at 6060 Clearwater Dr, Minnetonka and its contact number is 952-936-0977. The authorized person of Gillette Children's Healthcare Mntk is Patrick Nolan
who is Cfo of the store and his/her contact number is 651-312-3105. Gillette Children's Healthcare Mntk is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Gillette Children's Healthcare Mntk Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Patrick Nolan
Position:
Cfo
Contact Number:
651-312-3105
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Gillette Children's Healthcare Mntk center are as mentioned below.
NPI Number:
1598824880
Parent Organization:
Gillette Children's Specialty Healthcare
NPI Enumeration Date:
06 Dec, 2006
NPI Last Update On:
13 Dec, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gillette Children's Healthcare Mntk are as mentioned below.
Specialization
License Number
State
Status
Minnesota
Primary
Minnesota
Secondary
Minnesota
Secondary
Minnesota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
594130000
Medicaid
Minnesota
41683100
Medicaid
Wisconsin
815488000
Medicaid
Minnesota
1111HGI
Other
Blue Cross Blue Shield
11003700
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Gillette Children's Healthcare Mntk 200 University Ave E, Saint Paul, Minnesota
Zip:
55101-2507
Phone Number:
651-291-2848
Fax Number:
651-325-2174
Patients can reach Gillette Children's Healthcare Mntk at 6060 Clearwater Dr, Minnetonka, Minnesota or can call to book an appointment on 952-936-0977. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.