319th Medical Group, NPI 1578523924
Military/U.S. Coast Guard Outpatient Clinic/Center in Grand Forks Afb, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1578523924
NPI Entity Type Organization
Provider Name 319th Medical Group
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1599 J St, Grand Forks Afb, ND, US
Provider Mailing Address 1599 J St, Grand Forks Afb, ND, US, 582056306
Is Sole Proprietor? No
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Organization Official

Official Name Theresa Marie Mitchell
Official Position AIR FORCE UBO ANALYST
Phone 703-681-7613

Primary Taxonomy

Taxonomy Code

261QM1100X

Taxonomy Name Military/U.S. Coast Guard Outpatient Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

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.

Other Organization Name

Grand Forks MTF
Other Name

Business Address

319th Medical Group
1599 J St

Grand Forks Afb, ND, US

Phone: 701-747-5376

Mailing Address

319th Medical Group
1599 J St
Grand Forks Afb, ND, US
ZIP 582056306
Phone: 701-747-5376

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QM1101X

Ambulatory Health Care Facilities

Clinic/Center

No

332000000X

Suppliers

Military/U.S. Coast Guard Pharmacy

No

Other Providers in ND, US

NPI Name Taxonomy Address

1417688698

Tiffany Stoltz

Individual

Certified Registered Nurse Anesthetist

300 N 7th St

Bismarck, ND

1629700331

DNP Kara Kreft

Individual

Nurse Practitioner

2603 E Broadway Ave

Bismarck, ND

1124759618

FNP-C Danielle Joyce

Individual

Family Nurse Practitioner

5225 23rd Ave S

Fargo, ND

1639639776

MD Dalton Toay

Individual

Occupational Medicine Physician

860 S Columbia Rd

Grand Forks, ND

1104556471

AGNP Jessica Swingen

Individual

Gerontology Nurse Practitioner

1300 S Columbia Rd

Grand Forks, ND

1063743607

LCWS Samantha Navratil

Individual

Clinical Social Worker

1330 23rd St S

Ste B

Fargo, ND

1932659125

LPCC Naomi Tabassum

Individual

Mental Health Counselor

1330 23rd St S

Ste B

Fargo, ND

1295739233

DR. D.D.S. Edward Francis May

Individual

Oral and Maxillofacial Surgery (Dentist)

1918 9th St E Ste B

West Fargo, ND

1700326634

MR. LCSW Anthony Miller

Individual

Clinical Social Worker

1599 Jones Street

Grand Forks Afb, ND

1063963171

LPCC Trista Schon

Individual

Professional Counselor

1330 23rd St S

Ste B

Fargo, ND

1790859767

DR. DDS Jason O Dahl

Individual

General Practice Dentistry

1119 Sims St

Dickinson, ND

1104253038

LPCC Ashley Vogel

Individual

Professional Counselor

1330 23rd St S

Ste B

Fargo, ND

1457523557

MS. LCSW Jennifer Kimball Walter

Individual

Clinical Social Worker

1330 23rd St S

Ste B

Fargo, ND

1205551694

Illuminnate Chiropractic Pllc

Organization

Health Service Clinic/Center

6560 45th Ave S

Fargo, ND

1437707692

New Story Counseling Services Llpc

Organization

Counselor

1330 23rd St S

Ste B

Fargo, ND

1174141048

LPCC Denage Sauve

Individual

Mental Health Counselor

1330 23rd St S

Ste B

Fargo, ND

1497805196

Great Kids Therapy, Ltd.

Organization

Occupational Therapist

102 W Beaton Dr

Suite 100

West Fargo, ND

1275572844

DR. DDS Patrick J Capp

Individual

General Practice Dentistry

105 13th Ave E

West Fargo, ND

1265707848

LCSW Erika Louise Lake

Individual

Clinical Social Worker

1330 23rd St S

Ste B

Fargo, ND

1437778347

LPCC Megan Tarryn Degenstein

Individual

Mental Health Counselor

1330 23rd St S

Ste B

Fargo, ND

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