Active NPIOrganization

Branch Medical Clinic Groton

Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Groton, Connecticut

NPI Number1972564243
Practice location
1 Wahoo Ave, Box 600, Code 42G, Groton, CT 06340-2324
Fax
860-694-4843
Last updated
November 17, 2017

Branch Medical Clinic Groton is a healthcare organization based in Groton, CT. Branch Medical Clinic Groton practices in Groton, CT. The NPI Number for Branch Medical Clinic Groton is 1972564243. The current practice location address for Branch Medical Clinic Groton is 1 Wahoo Ave, Box 600, Code 42G, Groton, CT 06340-2324 and can be reached out via phone at 860-694-2556 and via fax at 860-694-4843.

Provider Profile Details

NPI Number
1972564243
Provider Name
Branch Medical Clinic Groton
Provider Entity Type
Organization
Address
1 Wahoo Ave, Box 600, Code 42G, Groton, CT 06340-2324
Phone Number
860-694-2556
Fax Number
860-694-4843
Organization Subpart
Yes
Parent Organization
Naval Health Clinic New England
Authorized Official
William M Condon · Bumed Ubo · 240-401-3643
Provider Enumeration Date
March 28, 2006
Last Update Date
November 17, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Wahoo Ave
Box 600, Code 42G
Groton, CT 06340-2324
City
Groton
Zip
06340-2324
Phone Number
860-694-2556
Fax Number
860-694-4843
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
Po Box 600
Groton, CT 06349-5600
City
Groton
State
CT
Zip
06349-5600
Phone Number
860-694-2556
Fax Number
860-694-4843

License Information

License State
CT

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 Branch Medical Clinic Groton?

The NPI number of Branch Medical Clinic Groton is 1972564243. It was assigned on March 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Branch Medical Clinic Groton?

Branch Medical Clinic Groton is registered under the primary taxonomy Clinic/Center, MilitaryU.S. Coast Guard Outpatient (code 261QM1100X).

Where does Branch Medical Clinic Groton practice?

The practice location is 1 Wahoo Ave, Box 600, Code 42G, Groton, CT 06340-2324. The office can be reached at 860-694-2556 (phone) or 860-694-4843 (fax).

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 1972564243 directly on the NPPES registry website.

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