OrganizationActive
Shakopee Pain Clinic
NPI 1073976601 · Health Maintenance Organization · Shakopee, MN
Provider details
- NPI number
- 1073976601
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Authorized official
- Antonio Barrientez, Owner
- License
- 866867100036 (MN)
Mailing address
255 1st Ave E
Shakopee, MN 55379-1440
Registry dates
- Enumerated
- 2016-03-31
- Last updated
- 2016-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.