Colin Meglitsch

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

10 Takotna Ave
McGrath, AK 99627

Phone

(907) 729-7000

NPI assigned

Nov 23, 2011

Last updated

Oct 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southcentral Foundation

  dba Dental- McGrath Dental Clinic

  • General Practice Dentistry
  • McGrath, AK
  • NPI 1497202550
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1174890826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TUDOR CENTRE DR",
            "address_2": "SUITE 320",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085904",
            "telephone_number": "907-729-6350",
            "fax_number": "907-729-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TAKOTNA AVE",
            "city": "MCGRATH",
            "state": "AK",
            "postal_code": "99627",
            "telephone_number": "907-729-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGLITSCH",
        "first_name": "COLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-23",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDH0158",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Louise Healy, ANP, RN
• Ophelia Hickerson
• Iditarod Area School District
• Sterling Marie Magnuson, CHA-I, ETT
• Sharena Gene McKindy, BHA-T
• June Iris Morgan, ANP CDE
• Elizabeth Paterson, CHAP
• Cheryl Roussain, PA
• Southcentral Foundation (McGrath Regional Health Center)
• Southcentral Foundation (Tribal- McGrath Regional Health Center)

• Community Health Worker in McGrath, AK
• Providers in McGrath, AK by specialty
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.