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

Active since March 28, 2006
1 WAHOO AVE, BOX 600, CODE 42G, GROTON, CT 06340(860) 694-2556(860) 694-4843 Get Directions Write a Review

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2017, Oct 25, 2017 (2 updates tracked since 2017).

About Branch Medical Clinic Groton NPPES

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

BRANCH MEDICAL CLINIC GROTON (NPI 1972564243) is a healthcare organization registered as a military/u.s. coast guard outpatient in Groton, Connecticut and active in the NPI registry since March 2006. The organization lists William M Condon, Bumed Ubo, as its authorized official.

NPPES Registry Identity

NPI1972564243
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameBRANCH MEDICAL CLINIC GROTON
Location Address1 WAHOO AVE, BOX 600, CODE 42GGroton, CT 06340-2324
Mailing AddressPo Box 600Groton, CT 06349-5600 · (860) 694-2556 · Fax (860) 694-4843
Phone(860) 694-2556
Fax(860) 694-4843
Organization SubpartYesParent: Naval Health Clinic New England
Authorized OfficialWilliam M CondonBumed Ubo · (240) 401-3643
Enumeration DateMarch 28, 2006
Last NPPES UpdateNovember 17, 20172 updates tracked since enumeration
✔ NPI 1972564243 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.
1 WAHOO AVE, Groton, CT 06340
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Other Providers at the Same Location NPPES 12

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

JOSHUA O BALTER NAVY IDC
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE, SUBASE NLON
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-4123
MRS. RENAY MILLER BSC(PHARMACY)
Pharmacist
1 WAHOO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-2590
MR. STEVEN JAY DIFILIPPO LCSW
Social Worker (Clinical)
1 WAHOO AVE, NAVSUBASENLON
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-1637
DR. JOHN WILLIAM DORUNDA M.D.
Family Medicine
1 WAHOO AVE, NBHC GROTON
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-4123
PAUL B. SCHIOWITZ IDC
Military Health Care Provider
1 WAHOO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-7511
FREDERICK M LOMASNEY III
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-2876
ROY L UNDERWOOD SFIDC
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-5139
MS. LAURI NYMAN COLE B.S., R.PH.
Pharmacist
1 WAHOO AVE, NAVAL HEALTH CLINIC
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-4523

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 Branch Medical Clinic Groton's NPI number?

The NPI number for Branch Medical Clinic Groton is 1972564243. It was assigned to this organization in the NPPES registry on March 28, 2006.

Where is Branch Medical Clinic Groton located?

Branch Medical Clinic Groton is located at 1 Wahoo Ave Box 600, Code 42G, Groton, CT 06340. The listed phone number is (860) 694-2556.

What is Branch Medical Clinic Groton'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 Branch Medical Clinic Groton was last updated on November 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.