CROSS ROAD HEALTH MINISTRIES INC. NPI 1659956449

NPI Information

NPI: 1659956449
Provider Name: CROSS ROAD HEALTH MINISTRIES, INC.

Doing Business As: TOK MEDICAL CLINIC TMC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
MILE POST 1314.5 ALASKA HWY.
TOK, AK
ZIP 99780
Phone: (907) 822-3203
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CROSS ROAD HEALTH MINISTRIES, INC. is a federally qualified health center (fqhc) clinic center in Tok, AK. CROSS ROAD HEALTH MINISTRIES, INC. NPI is 1659956449. The provider is registered as an organization entity type.
The provider Is Doing Business As Tok Medical Clinic Tmc.

The provider's business location address is:

MILE POST 1314.5 ALASKA HWY.
TOK, AK
ZIP 99780
Phone: (907) 822-3203

The provider's authorized official is Steve Gallagher .
The authorized official title is Ceo and has the following contact phone number (907) 414-8055.

The CLIA number assigned to this NPI record is 02D0066305 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/12/2021 and was last updated on 1/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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