Organization · Type 2 NPI

Branch Medical Clinic Groton

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

NPI number 1972564243 Active

Practice location

1 Wahoo Ave, Box 600, Code 42G
Groton, CT 06340-2324

Call (860) 694-2556 Map

Fax (860) 694-4843

Mailing address

PO Box 600
Groton, CT 06349-5600

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…

12 other providers at this address

About NPI 1972564243

Branch Medical Clinic Groton's National Provider Identifier is 1972564243, issued on Mar 28, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Groton, CT. The record was last updated on Nov 17, 2017.