CROSSROADS SHACKOPEE A
NPI 1902989239
Non-Pharmacy Dispensing Site in Shakopee, MN

Q: What is Crossroads Medical Center's NPI number?

The NPI number for Crossroads Medical Center is 1902989239. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Crossroads Shackopee A.

Q: What is Crossroads Medical Center's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since October 23, 2006

1335 10TH AVE E, SHAKOPEE, MN 55379(952) 496-6700(952) 445-6448 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Crossroads Shackopee A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS SHACKOPEE A (NPI 1902989239) is a healthcare organization registered as a non-pharmacy dispensing site in Shakopee, Minnesota and active in the NPI registry since October 2006. The organization lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1902989239

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameCROSSROADS MEDICAL CENTER

Location Address1335 10TH AVE EShakopee, MN 55379-2901

Mailing Address1335 10th Ave EShakopee, MN 55379-2901

Phone(952) 496-6700

Fax(952) 445-6448

Organization SubpartNo

Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889

Enumeration DateOctober 23, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1902989239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in MN · 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.)

1335 10TH AVE E, Shakopee, MN 55379

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Other Names 1

Doing Business AsCrossroads Shackopee A

Other Identifiers 1

Other2423692Other Id Number-commercial Number

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHASKA MEDICAL CENTER

Family Medicine

1335 10TH AVE E
SHAKOPEE, MN 55379

Scott County (952) 496-6700

DOUGLAS W. VAYDA DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

1335 10TH AVE E
SHAKOPEE, MN 55379

Scott County (952) 445-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroads Medical Center's NPI number?

The NPI number for Crossroads Medical Center is 1902989239. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Crossroads Shackopee A.

Where is Crossroads Medical Center located?

Crossroads Medical Center is located at 1335 10th Ave E, Shakopee, MN 55379. The listed phone number is (952) 496-6700.

What is Crossroads Medical Center's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Crossroads Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.