# BRANCH MEDICAL CLINIC GROTON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAVAL HEALTH CLINIC NEW ENGLAND
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972564243
- **Legal business name:** NAVAL HEALTH CLINIC NEW ENGLAND
- **Authorized official:** WILLIAM M CONDON (BUMED UBO)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 1 WAHOO AVE, BOX 600, CODE 42G, GROTON, CT 06340-2324
- **Practice address phone:** (860) 694-2556
- **Practice address fax:** (860) 694-4843
- **Mailing address:** PO BOX 600, GROTON, CT 06349-5600
- **Mailing address phone:** (860) 694-2556
- **Mailing address fax:** (860) 694-4843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | CT | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 11/17/2017