OrganizationActive
Shriners Hospitals for Children
NPI 1285250977 · Rehabilitation Clinic/Center · Woodbury, MN
Provider details
- NPI number
- 1285250977
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Gantt, President(813) 281-0300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
215 Radio Dr Ste 100
Woodbury, MN 55125-5817
Phone: (612) 596-6100
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8500 Lockbox 7642
Philadelphia, PA 19178-1435
Other names (DBA / former)
- Doing business as
- Shriners Children'S
- Doing business as
- Shriners Children'S
Registry dates
- Enumerated
- 2020-06-18
- Last updated
- 2021-10-28
- Certified
- 2021-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.