National Provider Identifier Database

319TH MEDGRP GRAND FORKS
Military/U.S. Coast Guard Outpatient

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.


Contact Information

319TH MEDGRP-GRAND FORKS
1599 J ST
GRAND FORKS AFB, ND58205-6306
Phone: 701-747-5376
Fax:
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X
Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Military/U.S. Coast Guard Pharmacy 332000000X

* Indicates primary specialty

NPI Profile & details for 319TH MEDGRP-GRAND FORKS

NPI Number 1578523924
Legal business name
LBN
319TH MEDGRP-GRAND FORKS
Authorized official JEN LEWANDOWSKI - (DHA UBO)
Entity Organization
Organization subpart Yes
Enumeration date 03/27/2006
Last updated 06/17/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • ND Other: 35-03922 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for 319TH MEDGRP-GRAND FORKS

There are currently no reviews for 319TH MEDGRP-GRAND FORKS


NPIdb - Home
v2.201