319TH MEDGRP-GRAND FORKS
NPI 1578523924
Clinic/Center - Military/U.S. Coast Guard Outpatient in Grand Forks Afb, ND

Q: What is 319th Medgrp-Grand Forks's NPI number?

The NPI number for 319th Medgrp-Grand Forks is 1578523924. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is also known as Grand Forks MTF.

Q: What is 319th Medgrp-Grand Forks's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

Active since March 27, 2006

1599 J ST, GRAND FORKS AFB, ND 58205(701) 747-5376 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, May 29, 2025 (2 updates tracked since 2025).

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About 319th Medgrp-grand Forks NPPES

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

319TH MEDGRP-GRAND FORKS (NPI 1578523924) is a healthcare organization registered as a military/u.s. coast guard outpatient in Grand Forks Afb, North Dakota and active in the NPI registry since March 2006. The organization lists Jen Lewandowski, Dha Ubo, as its authorized official.

NPPES Registry Identity

NPI1578523924

Entity TypeOrganization

Primary Taxonomy261QM1100X

Legal Business Name319TH MEDGRP-GRAND FORKS

Location Address1599 J STGrand Forks Afb, ND 58205-6306

Mailing Address1599 J StGrand Forks Afb, ND 58205-6306 · (701) 747-5376

Phone(701) 747-5376

Organization SubpartYes

Authorized OfficialJen LewandowskiDha Ubo · (703) 817-4030

Enumeration DateMarch 27, 2006

Last NPPES UpdateJune 17, 20252 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1578523924 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 ListedClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureTaxonomy 261QM1101X

Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X

1599 J ST, Grand Forks Afb, ND 58205

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Other Names 1

Other NameGrand Forks Mtf

Other Identifiers 1

Other35-03922ND · Ncpdp

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.

DR. RANDALL CLIFFORD NEDEGAARD PH.D

Psychologist (Clinical)

1599 J ST, 319 MDOS/SGOH
GRAND FORKS AFB, ND 58205

Grand Forks County (701) 747-7155

CHARLES EDWARD HOLTZ JR. IDMT

Military Health Care Provider (Independent Duty Medical Technicians)