Organization Active NPI

Crosby Cardiovascular Services, LLC

  • Clinic/Center
  • Crosby, MN
National Provider Identifier
1861434151
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CROSBY CARDIOVASCULAR SERVICES, LLC
Practice address
318 E Main St
Crosby, MN 56441-1645
Phone
(218) 546-4334
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerald L Pietz
Title
Sec/Treas
Phone
(612) 863-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

318 E Main St
Crosby, MN 56441-1645

Mailing address

920 E 28TH St
Suite 500
Minneapolis, MN 55407-1139
Phone (612) 863-3900

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

314 E Main St
Ste 1
Crosby, MN 56441
Phone (218) 546-4334

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1861434151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 28TH ST",
            "address_2": "SUITE 500",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071139",
            "telephone_number": "612-863-3900",
            "fax_number": "612-863-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E MAIN ST",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411645",
            "telephone_number": "218-546-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSBY CARDIOVASCULAR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "PIETZ",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SEC/TREAS",
        "authorized_official_telephone_number": "612-863-6175"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.