CROSS ROAD HEALTH MINISTRIES, INC. (NPI# 1609871391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609871391 |
Entity Type | Organization |
Organization Name | CROSS ROAD HEALTH MINISTRIES, INC. |
Practice Address |
Mile 187 Glenn Highway Glennallen AK 99588-0589 |
Mailing Address |
Po Box 5 Glennallen AK 99588-0589 |
Practice Telephone | 9078223203 |
Practice Fax Number | 9078225805 |
Mailing Telephone | 9078225686 |
Mailing Fax Number | 9078225684 |
Enumeration Date | 2005-06-17 |
Last Update Date | 2019-05-09 |
Authorized Official Name | JAMES WILLIAM WHITTINGTON (CEO) |
Authorized Official Telephone | 9078225686 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
10300 | AK | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | MELTON NPI | 1326021486 | 01 |
AK | PEPE NPI | 1417235904 | 01 |
AK | RH047FQ | 05 | |
AK | CLINIC NPI | 1609871391 | 01 |
AK | CROWE NPI | 1093999526 | 01 |
AK | LANFEAR NPI | 1083887749 | 01 |
AK | PHARM NPI | 1467534537 | 01 |
AK | MEDICARE RAILROAD PIN | DD0262 | 01 |
AK | HUGHES NPI | 158880436 | 01 |
AK | MEL NPI | 1033282728 | 01 |
AK | DEDE NPI | 1609990670 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821511064 | Cross Road Health Ministries, Inc. | Clinic/Center | 187 Glenn Highway, Glennallen, AK 99588-0589 | 2017-07-19 |
1417302639 | Cross Road Health Ministries, Inc. | Pharmacy | 2730 Alaska Hwy, Delta Junction, AK 99737 | 2016-04-25 |
1346677754 | Cross Road Health Ministries, Inc. | Clinic/Center | 2730 Alaska Highway, Delta Junction, AK 99737 | 2013-09-30 |
1447687850 | Cross Road Health Ministries, Inc. | Pharmacy | 2730 Alaska Highway, Delta Junction, AK 99737 | 2013-09-30 |
1891982732 | Cross Road Health Ministries, Inc. | Clinic/Center | Mile 187 Glenn Hwy, Glennallen, AK 99588-0589 | 2007-09-25 |
1467534537 | Cross Road Health Ministries, Inc. | Pharmacy | Mile 187 Glenn Hwy, Glennallen, AK 99588 | 2006-10-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CROSS ROAD HEALTH MINISTRIES, INC. | 187 Glenn Hwy Bldg A, Glennallen, AK 99588 |
Street Address |
MILE 187 GLENN HIGHWAY |
City | GLENNALLEN |
State | AK |
Zip Code | 99588-0589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255996369 | Suzanne Marie Sarafin | Massage Therapist | Mile 187 Glenn Highway, Glennallen, AK 99588 | 2019-05-03 |
1336547926 | Kevin Brent Shedlock, Dds, PC | Clinic/Center | Mile 187 Glenn Highway, Glennallen, AK 99588 | 2014-12-12 |
1003985557 | William G. Leino | Social Worker | Mile 187 Glenn Highway, Glennallen, AK 99588-0589 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124669874 | Abigail Nagengast | Massage Therapist | 187.6 Glenn Highway, Glennallen, AK 99588 | 2019-10-03 |
1962900100 | Copper River Native Association | Pharmacy | Mile 111.5 Richardson Highway, Glennallen, AK 99588 | 2018-01-23 |
1932633377 | Marissa Dewit | Massage Therapist | Mp 187.5 Glenn Highway, Glennallen, AK 99588 | 2017-04-12 |
1629349618 | Stephanie Allison Sever | Massage Therapist | 6 Old Potato Way, Mccarthy, AK 99588 | 2012-01-23 |
1588804306 | Roger Allen Hughes | Physician Assistant | Mile 186.5 Glenn Hwy, Glennallen, AK 99588 | 2009-03-06 |
1871780452 | Cathy Jean King | Counselor | Mile 111.2 Richardson Hwy, Corner of Tazlina Terrace Drive, Glnnallen, AK 99588 | 2007-09-27 |
1508945429 | Sandra R Tsinnie | Pharmacy Technician | Mm 187.5 Glenn Hwy, Glennallen, AK 99588 | 2006-11-02 |
1013093095 | Jimmie Lynn Asher | Pharmacist | Mm 111.5 Richardson Hwy, Glennallen, AK 99588 | 2006-10-31 |
1194334474 | Tom M Peek | Counselor | Mile 111.5, Glennallen, AK 99588 | 2020-07-23 |
1215418728 | Jim Lorence | Counselor | Mile 111.5 Richardson Hwy, Copper Center, AK 99588 | 2018-08-23 |
Find all providers in zip 99588 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821511064 | Cross Road Health Ministries, Inc. | Clinic/Center | 187 Glenn Highway, Glennallen, AK 99588-0589 | 2017-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568902583 | Sunshine Community Health Center, Inc | Clinic/Center | 42728 S Parks Highway, Talkeetna, AK 99676 | 2017-02-24 |
1467991455 | Sunshine Community Health Center, Inc | Clinic/Center | 13930 E Timberwolf Loop, Talkeetna, AK 99676 | 2017-02-23 |
1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
1679718019 | Camai Community Health Center, Inc. | Clinic/Center | # 2 School Rd, Naknek, AK 99633-0211 | 2008-12-15 |
1487818639 | City of Galena | Clinic/Center | 74 Ruby Road, Ruby, AK 99768-0074 | 2008-07-17 |
1568626760 | City of Galena | Clinic/Center | 30 Koyukuk Lane, Koyukuk, AK 99754-0030 | 2008-07-16 |
1669636866 | City of Galena | Clinic/Center | 148 Katido Street, Kaltag, AK 99748-0148 | 2008-07-16 |
1952422859 | Alaska Island Community Services | Clinic/Center | Naukati Community School, Naukati, AK 99950 | 2007-04-02 |
1699892307 | Sunshine Community Health Center Inc | Clinic/Center | 24091 W Long Lake Rd, Willow, AK 99688-9999 | 2007-03-26 |
1629105804 | Bristol Bay Borough | Clinic/Center | 2 School Road, Naknek, AK 99633-0211 | 2007-02-27 |
Find all providers with the same taxonomy |
City | GLENNALLEN |
Zip Code | 99588 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.