Active NPI
Crosby Cardiovascular Services, LLC
- Clinic/Center
- Crosby, MN
National Provider Identifier
1861434151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember 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.