National Provider Identifier Database

5TH MEDICAL GROUP
Military General Acute Care Hospital

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?fixed? facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A ?fixed? facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as ?pass-through? items.


Contact Information

5TH MEDICAL GROUP
10 MISSILE AVE
MINOT AFB, ND58705-5003
Phone: 701-723-5190
Fax:
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital 2865M2000X

* Indicates primary specialty

NPI Profile & details for 5TH MEDICAL GROUP

NPI Number 1760764393
Legal business name
LBN
5TH MEDICAL GROUP
Authorized official ROBERT LONG - (INDEPENDENT DUTY MEDICAL TECHNICIAN)
Entity Organization
Organization subpart No
Enumeration date 09/09/2011
Last updated 09/09/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • ND License #: B1035530

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.

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