Cross Road Health Ministries, Inc. | |
Mile 187 Glenn Highway Glennallen AK 99588-0589 | |
(907) 822-3203 | |
(907) 822-5805 |
Full Name | Cross Road Health Ministries, Inc. |
---|---|
Speciality | Clinic/Center |
Location | Mile 187 Glenn Highway, Glennallen, Alaska |
Authorized Official Name and Position | Steven William Gallagher (CEO) |
Authorized Official Contact | 9078225686 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cross Road Health Ministries, Inc. Po Box 5 Glennallen AK 99588-0589 Ph: (907) 822-5686 | Cross Road Health Ministries, Inc. Mile 187 Glenn Highway Glennallen AK 99588-0589 Ph: (907) 822-3203 |
NPI Number | 1609871391 |
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Provider Enumeration Date | 06/17/2005 |
Last Update Date | 03/29/2021 |
Medicare PECOS PAC ID | 4688587348 |
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Medicare Enrollment ID | O20031108000028 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609871391 | NPI | - | NPPES |
1083887749 | Other | AK | LANFEAR NPI |
DD0262 | Other | AK | MEDICARE RAILROAD PIN |
158880436 | Other | AK | HUGHES NPI |
1609871391 | Other | AK | CLINIC NPI |
RH047FQ | Medicaid | AK | |
1033282728 | Other | AK | MEL NPI |
1093999526 | Other | AK | CROWE NPI |
1326021486 | Other | AK | MELTON NPI |
1417235904 | Other | AK | PEPE NPI |
1467534537 | Other | AK | PHARM NPI |
1609990670 | Other | AK | DEDE NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 10300 (Alaska) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Cross Road Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 187 Glenn Highway, Glennallen, AK 99588 Phone: 907-822-3203 Fax: 907-822-3203 | |
Cross Road Health Ministries, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mile 187 Glenn Hwy, Glennallen, AK 99588 Phone: 907-822-3203 |