BRANCH MEDICAL CLINIC GROTON
NPI 1972564243
Clinic/Center - Military/U.S. Coast Guard Outpatient in Groton, CT

NPI Status: Active since March 28, 2006

Contact Information

1 WAHOO AVE
BOX 600, CODE 42G
GROTON, CT
ZIP 06340
Phone: (860) 694-2556
Fax: (860) 694-4843

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  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About BRANCH MEDICAL CLINIC GROTON

This page provides the complete NPI Profile along with additional information for Branch Medical Clinic Groton, a provider established in Groton, Connecticut operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1972564243 assigned on March 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is William M Condon (Bumed Ubo)

NPI
1972564243
Provider Name
BRANCH MEDICAL CLINIC GROTON
Entity Type
Organization
Location Address
1 WAHOO AVE BOX 600, CODE 42G GROTON, CT 06340
Location Phone
(860) 694-2556
Location Fax
(860) 694-4843
Mailing Address
PO BOX 600 GROTON, CT 06349
Mailing Phone
(860) 694-2556
Mailing Fax
(860) 694-4843
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-28-2006
Last Update Date
11-17-2017
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
License State
CT
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM M CONDON

Authorized Official Title
BUMED UBO
Authorized Official Phone
(240) 401-3643

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972564243, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 0 + 6 + 8 + 2 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1972564243.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1 WAHOO AVE
GROTON, CT 06340
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06340
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE, UNDERSEA MEDICINE
GROTON, CT 06340
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE, UNDERSEA MEDICINE
GROTON, CT 06340
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE, SUBASE NLON
GROTON, CT 06340
Social Worker (Clinical)
1 WAHOO AVE, NAVSUBASENLON
GROTON, CT 06340
Pharmacist
1 WAHOO AVE, NAVAL HEALTH CLINIC
GROTON, CT 06340
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06340
Military Health Care Provider
1 WAHOO AVE
GROTON, CT 06340
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06340
Family Medicine
1 WAHOO AVE, NBHC GROTON
GROTON, CT 06340
Pharmacist
1 WAHOO AVE
GROTON, CT 06340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972564243, enumerated as an "organization" on March 28, 2006.

The provider is located at 1 WAHOO AVE BOX 600, CODE 42G GROTON, CT 06340 and the phone number is (860) 694-2556.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.