Crossroads Medical Center, NPI 1902989239
Non-Pharmacy Dispensing Site in Shakopee, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1902989239
NPI Entity Type Organization
Provider Name Crossroads Medical Center
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1335 10th Ave E, Shakopee, MN, US
Provider Mailing Address 1335 10th Ave E, Shakopee, MN, US, 553792901
Is Sole Proprietor? No
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Organization Official

Official Name Direndia Shackelford
Official Position MANAGED CARE SPECIALIST
Phone 800-654-0889

Primary Taxonomy

Taxonomy Code

332900000X

Taxonomy Name Non-Pharmacy Dispensing Site
Classification

Non-Pharmacy Dispensing Site

Group

Suppliers

License No. 27079
License State MN
Description A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Other Organization Name

CROSSROADS SHACKOPEE A
Doing Business As

Business Address

Crossroads Medical Center
1335 10th Ave E

Shakopee, MN, US

Phone: 952-496-6700
Fax: 952-445-6448

Mailing Address

Crossroads Medical Center
1335 10th Ave E
Shakopee, MN, US
ZIP 553792901

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