The Defense Health Program or U.S. Coast Guard funded ?fixed? facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A ?fixed? facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Military/U.S. Coast Guard Outpatient |
261QM1100X | |||
Military and U.S. Coast Guard Ambulatory Procedure |
261QM1101X | |||
Military/U.S. Coast Guard Pharmacy |
332000000X | 87 | All Other Suppliers |
| NPI Number | 1427031673 |
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| LBN Legal business name | 5TH MEDGRP-MINOT | ||||||||
| Authorized official | JEN LEWANDOWSKI - (DHA UBO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 11/22/2005 | ||||||||
| Last updated | 04/13/2026 - About 2 months ago | ||||||||
| Identifiers |
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| NORTHWEST DAKOTA SURGERY CENTER LLC 1002 18TH AVENUE SE MINOT, ND |
| FAYE WEISS, RN,CNS,PC 129 18TH ST. SW MINOT, ND |
| RITTER FAMILY DENTISTRY, LLC 2615 ELK DR. MINOT, ND |
| BE WELL ADJUSTED, PC 1350 20TH AVE SW MINOT, ND |
| NORTHLAND HEALTH CENTERS 1600 2ND AVE SW STE 19 MINOT, ND |
| NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER 15 2ND AVE SW STE 110 MINOT, ND |
| NORTHWEST DAKOTA MANAGEMENT LLC 1002 18TH AVENUE SE MINOT, ND |
| COMPLETE CHIROPRACTIC PC 101 N MAIN ST GARRISON, ND |
| THREE AFFILIATED TRIBES CENTRAL FINANCE 315 2ND ST SE PARSHALL, ND |
| THREE AFFILIATED TRIBES PARSHALL HEALTH CARE CENTER 107 3RD ST SE PARSHALL, ND |