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Branch Medical Clinic Groton
Military/U.S. Coast Guard Outpatient Clinic/Center in Groton, Connecticut
NPI 1972564243

Branch Medical Clinic Groton is a Military/U.S. Coast Guard Outpatient Clinic/Center based in Groton, CT and is specialized in Military/U.S. Coast Guard Outpatient. Branch Medical Clinic Groton practices in Groton, CT. The NPI Number for Branch Medical Clinic Groton is 1972564243 and holds a License No. (Connecticut).

The current practice location address for Branch Medical Clinic Groton is 1 Wahoo Ave, Groton, CT and can be reached out via phone at 860-694-2556 and via fax at 860-694-4843.

Location: 1 Wahoo Ave, Groton, CT, 06349-5600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972564243
Provider Name
Branch Medical Clinic Groton
Credential
Provider Entity Type
Organization
Address
1 Wahoo Ave, Groton, CT, 06349-5600
Phone Number
860-694-2556
Fax Number
860-694-4843
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1 Wahoo Ave
City
Groton
State
Connecticut
Zip
06340-2324
Phone Number
860-694-2556
Fax Number
860-694-4843
person
Provider Business Mailing Address Details
Address
1 Wahoo Ave
City
Groton
State
Connecticut
Zip
06340-2324
Phone Number
860-694-2556
Fax Number
860-694-4843
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
261QM1100X
License No.
(Connecticut)
Definition
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.
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