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

Active since November 22, 2005
10 MISSILE AVE, MINOT AFB, ND 58705(701) 723-5995(630) 570-6075 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2026, Jun 17, 2025, May 29, 2025 (3 updates tracked since 2025).

About 5th Medgrp-minot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

5TH MEDGRP-MINOT (NPI 1427031673) is a healthcare organization registered as a military/u.s. coast guard outpatient in Minot Afb, North Dakota and active in the NPI registry since November 2005. The organization lists Jen Lewandowski, Dha Ubo, as its authorized official.

NPPES Registry Identity

NPI1427031673
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name5TH MEDGRP-MINOT
Location Address10 MISSILE AVEMinot Afb, ND 58705-5003
Mailing Address10 Missile AveMinot Afb, ND 58705-5003 · (701) 723-5995 · Fax (630) 570-6074
Fax(630) 570-6075
Organization SubpartYes
Authorized OfficialJen LewandowskiDha Ubo · (703) 817-4030
Enumeration DateNovember 22, 2005
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1427031673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition

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.

Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
10 MISSILE AVE, Minot Afb, ND 58705

Other Names 1

Other NameMinot Afb Mtf

Other Identifiers 2

Other70766ND · Blue Cross Blue Shield
Other8664ND · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
10 MISSILE AVE
MINOT, ND 58705
Military Health Care Provider (Independent Duty Medical Technicians)
10 MISSILE AVE
MINOT AFB, ND 58705
Pharmacist
10 MISSILE AVE
MINOT AFB, ND 58705
Military Hospital
10 MISSILE AVE
MINOT AFB, ND 58705
Military Hospital (Military General Acute Care Hospital)
10 MISSILE AVE
MINOT AFB, ND 58705
Pharmacist
10 MISSILE AVE
MINOT AFB, ND 58705
Nurse Practitioner (Pediatrics)
10 MISSILE AVE
MINOT AFB, ND 58705
Pediatrics
10 MISSILE AVE
MINOT AFB, ND 58705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427031673, enumerated 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.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.