5TH MEDGRP-MINOT
NPI 1427031673
Clinic/Center - Military/U.S. Coast Guard Outpatient in Minot Afb, ND

NPI Status: Active since November 22, 2005

Contact Information

10 MISSILE AVE
MINOT AFB, ND
ZIP 58705
Phone: (701) 723-5995
Fax: (701) 723-5733

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  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About 5TH MEDGRP-MINOT

This page provides the complete NPI Profile along with additional information for 5th Medgrp-minot, a provider established in Minot Afb, North Dakota operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1427031673 assigned on November 2005. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated June 2025. The provider's . The authorized official of this NPI record is Jen Lewandowski (Dha Ubo)

NPI
1427031673
Provider Legal Name
5TH MEDGRP-MINOT
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
10 MISSILE AVE MINOT AFB, ND 58705
Location Phone
(701) 723-5995
Location Fax
(701) 723-5733
Mailing Address
10 MISSILE AVE MINOT AFB, ND 58705
Mailing Phone
(701) 723-5995
Mailing Fax
(701) 723-5733
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-22-2005
Last Update Date
06-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1101XAmbulatory Health Care Facilities

Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure

 
2332000000XSuppliers

Military/U.S. Coast Guard Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEN LEWANDOWSKI

Authorized Official Title
DHA UBO
Authorized Official Phone
(703) 817-4030

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3503883OTHER (01)NDNABP/NCPDP
70766OTHER (01)NDBLUE CROSS BLUE SHIELD
8664OTHER (01)NDBLUE CROSS BLUE SHIELD

Reviews for 5TH MEDGRP-MINOT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427031673
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447032614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 3 + 2 + 6 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1427031673 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033396189 TEENA M HANSON PHARM.D.
Individual
Pharmacist10 MISSILE AVE
MINOT, ND 58705
(701) 727-9800
1700022100 THOMAS RUSSO MSW
Individual
Social Worker (Clinical)10 MISSILE AVE
MINOT, ND 58705
(701) 727-9800
1356570857 ROBERT B LONG IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5474
1447481338DR. ELAINE W. SIT PHARM.D
Individual
Pharmacist10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5296
1366754400DFAS-JFLL/IN
Organization
Military Hospital10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5597
17607643935TH MEDICAL GROUP
Organization
Military Hospital (Military General Acute Care Hospital)10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5190
1699798553MR. SCOTT EDWARD OLECH R.PH.
Individual
Pharmacist10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5294
1508097247MS. AGNES LIEM CPNP-PC, AE-C
Individual
Nurse Practitioner (Pediatrics)10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5138
1659753952 JONATHAN MARTINEZ
Individual
Pediatrics10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5491
1548496698DR. JESSICA LEIGH MILBURN D.D.S.
Individual
Dentist10 MISSILE AVE
MINOT, ND 58705
(701) 723-5109
1417934563DR. ROSCOE ORLANDO VANCAMP M.D.
Individual
Family Medicine10 MISSILE AVE
MINOT, ND 58705
(701) 723-5633
1306191689 PATRICIA KAYE CATROW D.O.
Individual
Family Medicine10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5633
1104401223 NADEGE EILERMAN DDS
Individual
Dentist (General Practice)10 MISSILE AVE
MINOT, ND 58705
(701) 723-5564
1245855535DR. DAVID SAGER PHD
Individual
Psychologist (Clinical)10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5527
1164663233 JENNIFER LEE WINCHELL PA-C
Individual
Physician Assistant (Medical)10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5133
1770936940 JEREMY THOMPSON
Individual
Physician Assistant10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5190
1144409756MR. JOSHUA JAMES TURNER LCSW
Individual
Social Worker (Clinical)10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5527
1205232998DR. LISA KROGMAN FNP-C
Individual
Nurse Practitioner10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5444
1215503990DR. ALI KATE POEPPEL DDS
Individual
Dentist10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5565
1255387429 JOEL R DIXON DPT, ATC
Individual
Physical Therapist (Orthopedic)10 MISSILE AVE
MINOT AFB, ND 58705
(701) 723-5103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427031673, enumerated in the NPI registry as an "organization" on November 22, 2005

The provider is located at 10 Missile Ave Minot Afb, Nd 58705 and the phone number is (701) 723-5995

This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 22, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.