OrganizationActive
Crossroads Medical Center
NPI 1902989239 · Non-Pharmacy Dispensing Site · Shakopee, MN
Provider details
- NPI number
- 1902989239
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Authorized official
- Direndia Shackelford, Managed Care Specialist
- License
- 27079 (MN)
Practice location
1335 10th Ave E
Shakopee, MN 55379-2901
Phone: (952) 496-6700
Fax: (952) 445-6448
Mailing address
1335 10th Ave E
Shakopee, MN 55379-2901
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.