Organization · Type 2 NPI

U.s. Coast Guard

Military/U.S. Coast Guard Outpatient Clinic/Center · New London, CT

NPI number 1760673032 Active

Practice location

15 Mohegan Ave
New London, CT 06320-8100

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed

Military/U.S. Coast Guard Outpatient Clinic/Center: 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 exam…

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About NPI 1760673032

U.s. Coast Guard's National Provider Identifier is 1760673032, issued on Aug 5, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in New London, CT. The record was last updated on Aug 5, 2007.