Active NPIOrganization

Naval Branch Health Clinic New England

Clinic/Center, Health Services in Groton, Connecticut

NPI Number1265780936
Practice location
1 Wahoo Ave, Groton, CT 06349-2324
Fax
—
Last updated
August 28, 2012

Naval Branch Health Clinic New England is a healthcare organization based in Groton, CT. Naval Branch Health Clinic New England practices in Groton, CT. The NPI Number for Naval Branch Health Clinic New England is 1265780936 and holds a License No. R170002 (MD). The current practice location address for Naval Branch Health Clinic New England is 1 Wahoo Ave, Groton, CT 06349-2324 and can be reached out via phone at 860-694-4725.

Provider Profile Details

NPI Number
1265780936
Provider Name
Naval Branch Health Clinic New England
Provider Entity Type
Organization
Address
1 Wahoo Ave, Groton, CT 06349-2324
Phone Number
860-694-4725
Primary Taxonomy
Clinic/Center, Health Services · 261QH0100X
Organization Subpart
No
Authorized Official
Mr. Mark Mammoth · Medical Staff Professional Services · 860-694-2377
Other Names
Naval Ambulatory Care Center (Other Name)
Provider Enumeration Date
August 28, 2012
Last Update Date
August 28, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Wahoo Ave
Groton, CT 06349-2324
City
Groton
Zip
06349-2324
Phone Number
860-694-4725
Groton, CT 06349Get directions →

Provider Business Mailing Address Details

Address
Po Box 600
Groton, CT 06349-5600
City
Groton
State
CT
Zip
06349-5600
Phone Number
860-694-4725

License Information

License Number
R170002
License State
MD
Taxonomy
Clinic/Center, Health Services · 261QH0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Naval Branch Health Clinic New England?

The NPI number of Naval Branch Health Clinic New England is 1265780936. It was assigned on August 28, 2012 and is currently active in the NPPES registry.

What is the specialty of Naval Branch Health Clinic New England?

Naval Branch Health Clinic New England is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X), licensed in MD under license number R170002.

Where does Naval Branch Health Clinic New England practice?

The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The office can be reached at 860-694-4725 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265780936 directly on the NPPES registry website.

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