Crossroads Medical Center in Shakopee - Non-pharmacy Dispensing Site
Crossroads Medical Center - NPI 1902989239
Crossroads Medical Center is a Non-pharmacy Dispensing Site in Shakopee, Minnesota. Crossroads Medical Center practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Crossroads Medical Center is 1902989239. The last update date is 2020-08-22.
Crossroads Medical Center's current location address is 1335 10th Ave E, Shakopee, Minnesota. You can contact this provider via phone number 9524966700 and fax number 9524456448. The mailing address for Crossroads Medical Center is 1335 10th Ave E, Shakopee, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crossroads Medical Center |
|---|---|
| Address | 1335 10th Ave E, Shakopee, Minnesota |
| Phone Number | 9524966700 |
| Fax Number | 9524456448 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGED CA |
|---|---|
| Authorized Official Name | Shackelford Direndia |
| Telephone Number | 8006540889 |
NPI Number Detail
| NPI Number | 1902989239 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1335 10th Ave E |
|---|---|
| City | Shakopee |
| State | Minnesota (MN) |
| Post Code | 553792901 |
| Phone Number | 9524966700 |
| Fax Number | 9524456448 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | 27079 |
|
Definition: 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.) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2423692 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Crossroads Medical Center by the Centers for Medicare & Medicaid Services?
The Crossroads Medical Center has been issued the NPI (National Provider Identifier) 1902989239 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Crossroads Medical Center's facilities are situated?
The facilities of Crossroads Medical Center are physically located at the following address: 1335 10Th Ave E, Shakopee, MN, 553792901.
What is Crossroads Medical Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crossroads Medical Center is Non-pharmacy Dispensing Site, and the taxonomy classification code that categorizes this area of expertise is 332900000X.
On what date did Crossroads Medical Center receive its 1902989239 assignment from the Centers for Medicare & Medicaid Services?
The Crossroads Medical Center was assigned its 1902989239 on 2006-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Crossroads Medical Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Crossroads Medical Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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