GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
NPI 1477612604
Clinic/Center - Multi-Specialty in Duluth, MN
NPI Status: Active since December 06, 2006
Contact Information
1420 LONDON RD STE 210
DULUTH, MN
ZIP 55805
Phone: (218) 728-6160
Fax: (218) 724-6982
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
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 Duluth, Minnesota operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1477612604 assigned on December 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Patrick Nolan (Cfo)
- NPI
- 1477612604
- Provider Name
- GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
- Entity Type
- Organization
- Location Address
- 1420 LONDON RD STE 210 DULUTH, MN 55805
- Location Phone
- (218) 728-6160
- Location Fax
- (218) 724-6982
- Mailing Address
- 200 UNIVERSITY AVE E SAINT PAUL, MN 55101
- Mailing Phone
- (651) 291-2848
- Mailing Fax
- (218) 724-6982
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-06-2006
- Last Update Date
- 04-08-2026
- Code Navigator
Gillette Children's Specialty Healthcare is a medicare supplier with PTAN 20553371 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Wheelchairs (Standard Manual Related Accessories) or Wheelchairs (Standard Power Related Accessories) or Wheelchairs (Complex Rehab Manual Rel Accessories) or Wheelchairs (Complex Rehab Power Rel Accessories) or Wheelchair Seating/Cushions or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.
Location Map
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | (MN) |
| 2 | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies | (MN) |
| 3 | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier | (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,300 Gold - PPO
- Atlas $2,000 Standard Gold - PPO
- Atlas $3,050 Plus Silver - PPO
- Atlas $3,800 HSA Silver - PPO
- Atlas $6,000 Standard Silver - PPO
- Atlas $6,800 Plus Bronze HSA - PPO
- Atlas $7,500 Standard Bronze HSA - PPO
- Atlas $8,400 HSA Bronze - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11003700 | MEDICAID (05) | WI | |
| 235422100 | MEDICAID (05) | MN | |
| 1111HGI | OTHER (01) | BLUE CROSS BLUE SHIELD | |
| 103632000 | MEDICAID (05) | MN | |
| 41683100 | MEDICAID (05) | WI |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20553371
- Accepts Medicare Assignment
- YES
- Specialities List
- Orthotic Personnel, Hospital.
- Competitive Bidding
- NO
Supplies List
- Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchairs (Standard Power Related Accessories) - Accessories for standard power wheelchairs, heavy duty standard power wheelchairs
- Wheelchairs (Complex Rehab Manual Rel Accessories) - Complex rehabilitative manual wheelchairs
- Wheelchairs (Complex Rehab Power Rel Accessories) - Complex rehabilitative power wheelchairs
- Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
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NPI 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 1477612604, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477612604, enumerated as an "organization" on December 06, 2006.
The provider is located at 1420 LONDON RD STE 210 DULUTH, MN 55805 and the phone number is (218) 728-6160.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: HealthPartners, Medicare, Medicaid and Blue Cross. Please consult your insurance carrier or call the provider to verify.