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

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  • 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)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

(MN)
2332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

(MN)
3335E00000XSuppliers

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.

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

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
11003700MEDICAID (05)WI 
235422100MEDICAID (05)MN 
1111HGIOTHER (01)BLUE CROSS BLUE SHIELD
103632000MEDICAID (05)MN 
41683100MEDICAID (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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
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 7 → 14 → 5 6 → 12 → 3 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 1 + 2 + 1 + 4 + 6 + 0 + 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 1477612604.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner
1420 LONDON RD STE 210
DULUTH, MN 55805

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.