NPIMap

Organization Active NPI

Cross Road Health Ministries, Inc.

Doing business as Interior Alaska Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Delta Junction, AK
National Provider Identifier
1346677754
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
103000 Issued in AK
Legal business name
CROSS ROAD HEALTH MINISTRIES, INC.
Doing business as
Interior Alaska Medical Clinic
Practice address
2730 Alaska Highway
Delta Junction, AK 99737
Phone
(907) 822-5686
Fax
(907) 822-5684
NPI assigned
Sep 30, 2013
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 103000 AK Primary
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 names 1

  • Interior Alaska Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346677754. Details of each certification follow.

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
CorporationNon-profit
Incorporated
May 16, 1988 in AK
Enrollment address
2730 Alaska Hwy
Delta Junction, AK 99737

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Ownership & related parties

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 OfficerCeo Sep 8, 2020
Corporate DirectorCeo Sep 8, 2020
W-2 Managing EmployeeCeo Sep 8, 2020
Operational/Managerial ControlCeo Sep 8, 2020
Deborah R Davey Individual Corporate OfficerDir of Risk Management Sep 8, 2020
Corporate DirectorDir of Risk Management Sep 8, 2020
W-2 Managing EmployeeDir of Risk Management Sep 8, 2020
Operational/Managerial ControlDir of Risk Management Sep 8, 2020
Joel R Medendorp Individual Operational/Managerial ControlCeo/President Aug 1, 2010 100%
Sharon Daniel Individual Corporate OfficerBoard Chairman Jan 1, 2011
Corporate DirectorBoard Chairman Jan 1, 2022
Daniel Case Individual Corporate OfficerCfo Dec 5, 2022
Corporate Director Dec 5, 2022
W-2 Managing EmployeeCfo Dec 5, 2022
Carol Neeley Individual Corporate DirectorBoard Member Jan 1, 1993 100%
Dawn Grossmann Individual Corporate DirectorBoard Member Jan 1, 2022
Thomas Carnahan Individual Corporate DirectorBoard Member Jan 1, 2022
Richard Dennis Individual Corporate DirectorBoard Member Jan 1, 2022
Jason Severs Individual Corporate DirectorBoard Member Jan 1, 2022

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1346677754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997370258",
            "telephone_number": "907-895-6233",
            "fax_number": "907-895-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 ALASKA HIGHWAY",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "99737",
            "telephone_number": "907-822-5686",
            "fax_number": "907-822-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS ROAD HEALTH MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-822-5686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AK",
            "license": "103000",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interior Alaska Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interior Alaska Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delta Junction, AK

Sources for this page

Verify at the official NPI Registry.