OrganizationActive
Gillette Children'S Specialty Healthcare
NPI 1194111724 · Prosthetic/Orthotic Supplier · Marshall, MN
Provider details
- NPI number
- 1194111724
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Gillette Children'S Specialty Healthcare
- Organization subpart
- Yes
- Authorized official
- Patrick Nolan, Cfo(651) 312-3105
Specialties & taxonomies
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 S Bruce St
Marshall, MN 56258-1934
Phone: (651) 634-1938
Street-level locationGet directions
Mailing address
200 University Ave E
Saint Paul, MN 55101-2507
Registry dates
- Enumerated
- 2015-04-10
- Last updated
- 2019-12-27
- Certified
- 2019-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.