Cross Road Health Ministries, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Glennallen, AK
NPI 1609871391 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1609871391
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 10300 (AK)
- Legal business name
- CROSS ROAD HEALTH MINISTRIES, INC.
- Practice address
- Mile 187 Glenn Highway
Glennallen, AK 99588-0589 - Phone
- (907) 822-3203
- Fax
- (907) 822-5805
- NPI assigned
- Jun 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Steven William Gallagher
- Title
- Ceo
- Phone
- (907) 822-5686
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Practitioners 27
-
Andrew Peter Cap, MD, PHD
-
Amber Michele Lorenzana, FNP-BC
-
Peggy L O'Connor, FNP
-
Thomas Michael Peek, MS NCC
-
Amanda Renee Tortorige, LPC; LCPC
-
Verna Jean Schad, CNP
-
Kent Steele, PA-C
-
Diane L Duntze, ANP
-
Christine Frost, PA-C
-
Donald G Hudson, DO
-
Sean Richardson, D.O.
-
April Nicole Savage, LCAS,LCSW-A, LCSW
-
Rachael Brock, PA
-
Charlotte Gaye Ellis, APRN-BC
-
Catherine Henderson, FNP
-
Andrew G. Neal, RN, MS(N), FNP-BC
-
Carl Lester Brown Jr., PA-C
-
Marcel Page Herring, PA-C
-
Jonathan Paul Clemens, DMSC, PA-C
-
James Morgan Freuler, PA-C
-
Richard Jay Laflame, PA-C
-
Ruth Hunt, MSN, APRN, FNP-BC
-
Gail Ann Combs, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AK
Federally qualified health center certification: CCN 021820
- Legal name
- CROSS ROAD HEALTH MINISTRIES INC
- Doing business as
- CROSS ROAD MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 14, 2004
- Last certification
- Jan 14, 2004
- Ownership / control type
- For profit – individual
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 16, 1988 in AK
- Enrollment address
- Mile 187 Glenn Highway
Glennallen, AK 99588-0589
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Cathy T Knighten |
Corporate Officer | Apr 28, 2016 | |
| Gayle Kildal |
Corporate Director | Apr 28, 2016 | |
| Joel R Medendorp |
Corporate Director | Sep 22, 2010 | |
| W-2 Managing Employee | Sep 22, 2010 | ||
| Mary Howarth-Hernandez |
Corporate Officer | Apr 28, 2016 | |
| Sharon Daniel |
Corporate Officer | Apr 28, 2016 | |
| Daniel Case |
Corporate Officer |
Dec 5, 2022 | |
| Corporate Director | Dec 5, 2022 | ||
| W-2 Managing Employee |
Dec 5, 2022 | ||
| Operational/Managerial Control |
Dec 5, 2022 | ||
| Carol Neeley |
Corporate Officer | Apr 28, 2016 | |
| Dawn Grossmann |
Corporate Director | Apr 28, 2016 | |
| Michael D Roscovius |
Corporate Director |
Dec 13, 2003 | |
| Rose Tyone |
Corporate Officer | Apr 28, 2016 | |
| Jason Severs |
Corporate Director | Apr 28, 2016 | |
| Karl Bengston |
Corporate Director | Sep 22, 2010 | |
| Susan E Sutherland |
Corporate Officer |
Mar 31, 2015 | |
| W-2 Managing Employee | Sep 22, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031108000028 | AK | Part a Provider - Federally Qualified Health Center (FQHC) | 4688587348 | Practice locations: Glennallen, AK |
| O20040401001184 | AK | Part B Supplier - Clinic/Group Practice | 4688587348 |
Receives reassigned benefits from 23 practitioners 2 other NPIs on this enrollment Practice locations: Delta Junction, AK; Glennallen, AK; Tok, AK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 10300 | AK | Yes |
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
Mile 187 Glenn Highway
Glennallen, AK 99588-0589
Mailing address
PO Box 5
Glennallen, AK 99588-0589
Phone (907) 822-5686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029903 | Medicaid | AK |
Other names
- Cross Road Medical Center
Other providers in Glennallen, AK
- 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
- Roxanne Marie Farmer
All providers in Glennallen, AK · Federally Qualified Health Center (FQHC) 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 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.