Organization · NPI-2
5th Medical Group
Military Hospital, Military General Acute Care Hospital · Minot Afb, ND
NPI number1760764393
StatusActive
Last updated in NPPESSep 9, 2011
Details
- NPI
- 1760764393
- Entity type
- Organization (NPI-2)
- Legal business name
- 5th Medical Group
- Organization subpart
- No
- Enumeration date
- Sep 9, 2011
- Last updated
- Sep 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2865M2000X | Military Hospital, Military General Acute Care Hospital | b1035530 | ND | Yes |
Practice location
10 Missile AveMinot Afb, ND 58705-5003
Phone 701-723-5190
Mailing address
10 Missile AveMinot Afb, ND 58705-5003
Authorized official
Robert B Long
Independent Duty Medical Technician
7017235190
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