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U.S. COAST GUARD ACADEMY CLINIC
NPI 1760673032
Clinic/Center - Military/U.S. Coast Guard Outpatient in New London, CT

Active since August 05, 2007
15 MOHEGAN AVE, NEW LONDON, CT 06320(860) 444-8402 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About U.s. Coast Guard Academy Clinic NPPES

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

U.S. COAST GUARD ACADEMY CLINIC (NPI 1760673032) is a healthcare organization registered as a military/u.s. coast guard outpatient in New London, Connecticut and active in the NPI registry since August 2007. The organization lists Schon Russell, Chief, as its authorized official.

NPPES Registry Identity

NPI1760673032
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameU.S. COAST GUARD
Location Address15 MOHEGAN AVENew London, CT 06320-8100
Mailing Address15 Mohegan AveNew London, CT 06320-8100 · (860) 444-8402
Phone(860) 444-8402
Organization SubpartNo
Authorized OfficialSchon RussellChief · (860) 701-6736
Enumeration DateAugust 5, 2007
✔ NPI 1760673032 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 Names 1

Other NameU.s. Coast Guard Academy Clinic

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 U.S. Coast Guard's NPI number?

The NPI number for U.S. Coast Guard is 1760673032. It was assigned to this organization in the NPPES registry on August 5, 2007. The provider is also known as U.S. Coast Guard Academy Clinic.

Where is U.S. Coast Guard located?

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

What is U.S. Coast Guard'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 was last updated on August 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.