Cross Road Health Ministries, Inc.
Organization Active NPI Community/Retail Pharmacy · Glennallen, AK
NPI 1467534537 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1467534537
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 115647 (AK)
- Legal business name
- CROSS ROAD HEALTH MINISTRIES, INC.
- Practice address
- Mile 187 Glenn Hwy
Glennallen, AK 99588 - Phone
- (907) 822-3336
- Fax
- (907) 822-5376
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Steven William Gallagher
- Title
- Ceo
- Phone
- (907) 822-5686
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Crossroad Medical Cente
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | 115647 | AK | Yes |
Addresses
Primary practice location
Mile 187 Glenn Hwy
Glennallen, AK 99588
Mailing address
PO Box 5
Glennallen, AK 99588-0589
Phone (907) 822-3336
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1996720 | Other | PK | |
| 1028514 | Medicaid | AK |
Other providers in Glennallen, AK
- Lisa Marie Buchal
- Andrew Peter Cap
- Copper River Emergency Medical Services Council, Inc.
- Copper River Native Association
- Tammy Sue Cronk
- Cross Road Health Ministries, Inc.
- Cross Road Health Ministries, Inc.
- Cross Road Health Ministries, Inc.
- Terry Lynn Devens
- Marissa Dewit
All providers in Glennallen, AK · Community/Retail Pharmacy in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.