Crossroads Shackopee A

LBN: Crossroads Medical Center
Crossroads Shackopee A is an health care organization with primary practice located at 1335 10Th Ave E , Shakopee MN 55379-2901. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Crossroads Medical Center can be contacted via phone (952) 496-6700, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
1335 10Th Ave E Shakopee MN 55379-2901
Phone: (952) 496-6700
Fax: (952) 445-6448
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 27079 Minnesota

Profile Details

NPI number 1902989239
LBN Legal business name Crossroads Medical Center
DBA Doing business as Crossroads Shackopee A
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902989239 NPPES
Other 2423692 OTHER ID NUMBER-COMMERCIAL NUMBER

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