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U. S. COAST GUARD ACADEMY
NPI 1013001957
Clinic/Center - Military/U.S. Coast Guard Outpatient in New London, CT

Active since October 03, 2006
15 MOHEGAN AVE, NEW LONDON, CT 06320(860) 444-8402 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About U. S. Coast Guard Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

U. S. COAST GUARD ACADEMY (NPI 1013001957) is a healthcare organization registered as a military/u.s. coast guard outpatient in New London, Connecticut and active in the NPI registry since October 2006. The organization lists Ray A Chaney, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1013001957
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameU. S. COAST GUARD ACADEMY
Location Address15 MOHEGAN AVENew London, CT 06320-8100
Mailing Address15 Mohegan AveNew London, CT 06320-8100
Phone(860) 444-8402
Organization SubpartNo
Authorized OfficialRay A ChaneyClinic Administrator · (860) 701-6736
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013001957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
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.
15 MOHEGAN AVE, New London, CT 06320
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRETT TAYLOR
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8424
MR. BRYAN KEITH ODITT APA-C
Physician Assistant (Medical)
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8207
MR. TIMOTHY G WAKSMONSKI
Emergency Medical Technician, Basic
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8408
JASON PHILLIP FARIS HEALTH SERVICES TECH
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8424
JACQUELINE MICHELLE HARRISON HS
Military Health Care Provider
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402
LINDSEY ANN MENDEZ
Dental Assistant
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 701-6999
SCHON C RUSSELL HEALTH SERVICE TECH
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402
PATRICK VANZILE
Personal Emergency Response Attendant
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 701-8424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is U. S. Coast Guard Academy's NPI number?

The NPI number for U. S. Coast Guard Academy is 1013001957. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is U. S. Coast Guard Academy located?

U. S. Coast Guard Academy is located at 15 Mohegan Ave, New London, CT 06320. The listed phone number is (860) 444-8402.

What is U. S. Coast Guard Academy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for U. S. Coast Guard Academy was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.