319th Medgrp-Grand Forks
NPI #1578523924 in Grand Forks Afb, North Dakota
Provider Information
- NPI Number
- 1578523924
- Entity Type
- Organization
- Organization Name
- 319th Medgrp-Grand Forks
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 319TH MEDGRP-GRAND FORKS
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Mar 27, 2006
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 1599 J ST
- City
- Grand Forks Afb
- State
- North Dakota
- ZIP Code
- 58205-6306
- Phone
- (701) 747-5376
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Heather A Ray, PHARM. D. | |
| MRS. Kathleen Andrea Brehm-Heitman, P.T. | |
| Breezetta Lowanet Etienne, PA-C | |
| DR. Benjamin Scott Fenger, D.D.S. |
Organizations
| Provider Name | |
|---|---|
| 5th Medgrp-Minot Part of 5th Medgrp-Minot |
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