Organization
5TH MEDGRP-MINOT
Active
Parent organization
5TH MEDGRP-MINOT
Other names
Minot AFB MTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
5TH MEDGRP-MINOT
Authorized official
JEN LEWANDOWSKI (DHA UBO)
(703) 817-4030
Entity
Organization
Contact information
Practice address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5995
(630) 570-6075
Mailing address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5995
(630) 570-6074
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3503883
NABP/NCPDP
ND
01
—
70766
BLUE CROSS BLUE SHIELD
ND
01
—
8664
BLUE CROSS BLUE SHIELD
ND
Enumeration date
11/22/2005
Last updated
04/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us