GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
NPI 1194111724
Prosthetic/Orthotic Supplier in Marshall, MN

NPI Status: Active since April 10, 2015

Contact Information

300 S BRUCE ST
MARSHALL, MN
ZIP 56258
Phone: (651) 634-1938

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  • Organization
  • Prosthetic/Orthotic Supplier
  • CLIA Number: 24D2082801
  • CLIA Cert. Type: Other - CLINICAL RESEARCH PROCESS
  • CLIA Exp. Date: 08-20-2026

About GILLETTE CHILDREN'S SPECIALTY HEALTHCARE

This page provides the complete NPI Profile along with additional information for Gillette Children's Specialty Healthcare, a provider established in Marshall, Minnesota operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1194111724 assigned on April 2015. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Patrick Nolan (Cfo)

NPI
1194111724
Provider Name
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Entity Type
Organization
Location Address
300 S BRUCE ST MARSHALL, MN 56258
Location Phone
(651) 634-1938
Mailing Address
200 UNIVERSITY AVE E SAINT PAUL, MN 55101
Mailing Phone
(651) 291-2848
Mailing Fax
(651) 325-2122
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-10-2015
Last Update Date
12-27-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
2332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PATRICK NOLAN

Authorized Official Title
CFO
Authorized Official Phone
(651) 312-3105

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2082801
Facility Type
Other - CLINICAL RESEARCH PROCESS
Certificate Effective Date
August 21, 2024
Certificate Expiration Date
August 20, 2026
Laboratory Director
ELIZABETH NELSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gillette Children's Specialty Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194111724, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 2 + 1 + 2 + 7 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1194111724.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
300 S BRUCE ST
MARSHALL, MN 56258
Ophthalmology
300 S BRUCE ST
MARSHALL, MN 56258
Dietitian, Registered
300 S BRUCE ST
MARSHALL, MN 56258
Ophthalmology
300 S BRUCE ST
MARSHALL, MN 56258
Technician/Technologist (Ophthalmic Assistant)
300 S BRUCE ST
MARSHALL, MN 56258
Pharmacist
300 S BRUCE ST
MARSHALL, MN 56258
Hearing Instrument Specialist
300 S BRUCE ST
MARSHALL, MN 56258
Obstetrics & Gynecology
300 S BRUCE ST
MARSHALL, MN 56258
Audiologist-Hearing Aid Fitter
300 S BRUCE ST
MARSHALL, MN 56258
Audiologist
300 S BRUCE ST
MARSHALL, MN 56258
Pharmacist
300 S BRUCE ST
MARSHALL, MN 56258
Surgery
300 S BRUCE ST
MARSHALL, MN 56258
Nurse Anesthetist, Certified Registered
300 S BRUCE ST
MARSHALL, MN 56258
Social Worker (Clinical)
300 S BRUCE ST
MARSHALL, MN 56258
Internal Medicine
300 S BRUCE ST
MARSHALL, MN 56258
Pharmacist
300 S BRUCE ST
MARSHALL, MN 56258
Family Medicine
300 S BRUCE ST, AVERA MARSHALL
MARSHALL, MN 56258
Pediatrics
300 S BRUCE ST, AVERA MARSHALL
MARSHALL, MN 56258
Nurse Practitioner (Family)
300 S BRUCE ST
MARSHALL, MN 56258
Psychiatry & Neurology (Psychiatry)
300 S BRUCE ST, AVERA MARSHALL
MARSHALL, MN 56258

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194111724, enumerated as an "organization" on April 10, 2015.

The provider is located at 300 S BRUCE ST MARSHALL, MN 56258 and the phone number is (651) 634-1938.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.