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UNITED STATES COAST GUARD
NPI 1578548699
Clinic/Center in New London, CT

Active since December 13, 2005
15 MOHEGAN AVE, NEW LONDON, CT 06320(860) 444-8402(860) 444-8413 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About United States Coast Guard NPPES

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

UNITED STATES COAST GUARD (NPI 1578548699) is a healthcare organization registered as a clinic/center in New London, Connecticut and active in the NPI registry since December 2005. The organization lists Maria Inez Dickinson, Health Services Technican, as its authorized official.

NPPES Registry Identity

NPI1578548699
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameUNITED STATES COAST GUARD
Location Address15 MOHEGAN AVENew London, CT 06320-8100
Mailing Address22 Monroe LnGroton, CT 06340-2434 · (860) 449-0681
Phone(860) 444-8402
Fax(860) 444-8413
Organization SubpartNo
Authorized OfficialMaria Inez DickinsonHealth Services Technican · (860) 449-0681
Enumeration DateDecember 13, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1578548699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
U. S. COAST GUARD ACADEMY
Clinic/Center (Military/U.S. Coast Guard Outpatient)
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402
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

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 United States Coast Guard's NPI number?

The NPI number for United States Coast Guard is 1578548699. It was assigned to this organization in the NPPES registry on December 13, 2005.

Where is United States Coast Guard located?

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

What is United States Coast Guard's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for United States Coast Guard was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.