NAVAL AMBULATORY CARE CENTER
NPI 1265780936
Clinic/Center - Health Service in Groton, CT

Active since August 28, 2012

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Naval Ambulatory Care Center NPPES

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

NAVAL AMBULATORY CARE CENTER (NPI 1265780936) is a healthcare organization registered as a health service in Groton, Connecticut and active in the NPI registry since August 2012. The organization lists Mark Mammoth, Medical Staff Professional Services, as its authorized official.

NPPES Registry Identity

NPI1265780936
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameNAVAL BRANCH HEALTH CLINIC NEW ENGLAND
Location Address1 WAHOO AVEGroton, CT 06349-2324
Mailing AddressPo Box 600Groton, CT 06349-5600 · (860) 694-4725
Organization SubpartNo
Authorized OfficialMark MammothMedical Staff Professional Services · (860) 694-2377
Enumeration DateAugust 28, 2012
NPI 1265780936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in MD · R170002
1 WAHOO AVE, Groton, CT 06349

Other Names 1

Other NameNaval Ambulatory Care Center

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.

Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Nurse Practitioner (Family)
1 WAHOO AVE
GROTON, CT 06349
Dentist (Periodontics)
1 WAHOO AVE
GROTON, CT 06349
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Psychiatry & Neurology (Psychiatry)
1 WAHOO AVE
GROTON, CT 06349
Dentist (General Practice)
1 WAHOO AVE
GROTON, CT 06349

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 Naval Branch Health Clinic New England's NPI number?

The NPI number for Naval Branch Health Clinic New England is 1265780936. It was assigned to this organization in the NPPES registry on August 28, 2012. The provider is also known as Naval Ambulatory Care Center.

Where is Naval Branch Health Clinic New England located?

Naval Branch Health Clinic New England is located at 1 Wahoo Ave, Groton, CT 06349. The listed phone number is (860) 694-4725.

What is Naval Branch Health Clinic New England's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Naval Branch Health Clinic New England was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.