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Contact Information

CROSS ROAD HEALTH MINISTRIES, INC.
MILE 187 GLENN HWY
GLENNALLEN, AK99588
 Phone: 907-822-3336
 Fax: 907-822-5376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CROSS ROAD HEALTH MINISTRIES, INC.

NPI Number 1467534537
LBN Legal business name CROSS ROAD HEALTH MINISTRIES, INC.
Authorized official STEVEN GALLAGHER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2006
Last updated 03/29/2021 - About 5 years ago
Identifiers
AK License # 115647
AK Medicaid 1028514
Other 1996720 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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