Cross Road Health Ministries, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Delta Junction, AK

NPI 1346677754 · NPPES record last updated Mar 31, 2026

Key facts

NPI
1346677754
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
License
103000 (AK)
Legal business name
CROSS ROAD HEALTH MINISTRIES, INC.
Practice address
2730 Alaska Highway
Delta Junction, AK 99737
Phone
(907) 822-5686
Fax
(907) 822-5684
NPI assigned
Sep 30, 2013
Organization subpart
No

Authorized official

Name
Mr. Steven Gallagher
Title
Ceo
Phone
(907) 822-5686

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AK

Federally qualified health center certification: CCN 021846

Legal name
CROSS ROAD HEALTH MINISTRIES INC
Doing business as
INTERIOR ALASKA MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 22, 2015
Last certification
Jan 22, 2015
Ownership / control type
Non-profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
May 16, 1988 in AK
Enrollment address
2730 Alaska Hwy
Delta Junction, AK 99737

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Gallagher
Individual
Corporate Officer
Ceo
Sep 8, 2020
Corporate Director
Ceo
Sep 8, 2020
W-2 Managing Employee
Ceo
Sep 8, 2020
Operational/Managerial Control
Ceo
Sep 8, 2020
Deborah R Davey
Individual
Corporate Officer
Dir of Risk Management
Sep 8, 2020
Corporate Director
Dir of Risk Management
Sep 8, 2020
W-2 Managing Employee
Dir of Risk Management
Sep 8, 2020
Operational/Managerial Control
Dir of Risk Management
Sep 8, 2020
Joel R Medendorp
Individual
Operational/Managerial Control
Ceo/President
Aug 1, 2010 100%
Sharon Daniel
Individual
Corporate Officer
Board Chairman
Jan 1, 2011
Corporate Director
Board Chairman
Jan 1, 2022
Daniel Case
Individual
Corporate Officer
Cfo
Dec 5, 2022
Corporate Director Dec 5, 2022
W-2 Managing Employee
Cfo
Dec 5, 2022
Carol Neeley
Individual
Corporate Director
Board Member
Jan 1, 1993 100%
Dawn Grossmann
Individual
Corporate Director
Board Member
Jan 1, 2022
Thomas Carnahan
Individual
Corporate Director
Board Member
Jan 1, 2022
Richard Dennis
Individual
Corporate Director
Board Member
Jan 1, 2022
Jason Severs
Individual
Corporate Director
Board Member
Jan 1, 2022

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040401001184 AK Part B Supplier - Clinic/Group Practice 4688587348 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Delta Junction, AK; Glennallen, AK; Tok, AK
O20150128001191 AK Part a Provider - Federally Qualified Health Center (FQHC) 4688587348 Practice locations: Delta Junction, AK

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 103000 AK Yes
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

2730 Alaska Highway
Delta Junction, AK 99737

Mailing address

PO Box 258
Delta Junction, AK 99737-0258
Phone (907) 895-6233

Other identifiers

IdentifierTypeStateIssuer
1626391MedicaidAK

Other names

  • Interior Alaska Medical Clinic Doing business as

Other providers in Delta Junction, AK

All providers in Delta Junction, AK · Federally Qualified Health Center (FQHC) in Alaska

Sources for this page

Verify at the official NPI Registry.