BRANCH MEDICAL CLINIC GROTON is a military/u.s. coast guard outpatient clinic center in Groton, CT. The provider is 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. BRANCH MEDICAL CLINIC GROTON NPI is 1972564243. The provider is registered as an organization entity type.
The provider's business location address is:
1 WAHOO AVE
BOX 600, CODE 42G
GROTON, CT
ZIP 06340-324
Phone: (860) 694-2556
Fax: (860) 694-4843
The provider's authorized official is William M Condon .
The authorized official title is Bumed Ubo and has the following contact phone number (240) 401-3643.
The enumeration date for this NPI number is 3/28/2006 and was last updated on 11/17/2017.