OrganizationActive
Gillette Children'S Specialty Healthcare
NPI 1457747172 · Prosthetic/Orthotic Supplier · Crookston, MN
Provider details
- NPI number
- 1457747172
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Gillette Children'S Specialty Healthcare
- Organization subpart
- Yes
- Authorized official
- James Haddican, Vp of Finance/Cfo(651) 312-3105
Specialties & taxonomies
Suppliers
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
Practice location
323 S Minnesota St
Crookston, MN 56716-1601
Phone: (651) 634-1938
Approximate (ZIP-level) locationGet directions
Mailing address
200 University Ave E
Saint Paul, MN 55101-2507
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2015-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.