NPIMap

Organization Active NPI

Evans Army Community Hospital

Doing business as Usadc Ft. Carson 1

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Carson, CO
National Provider Identifier
1124221619
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
EVANS ARMY COMMUNITY HOSPITAL
Doing business as
Usadc Ft. Carson 1
Practice address
2356 Quinn Street
Fort Carson, CO 80913
Phone
(719) 526-2200
NPI assigned
Jun 11, 2007
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
EVANS ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Burlingame
Title
Ubo Manager
Phone
(719) 526-7291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X NU Primary

Addresses

Primary practice location

2356 Quinn Street
Fort Carson, CO 80913

Mailing address

1650 Cochrane Cir
Attn: Third Party Office
Fort Carson, CO 80913-4603
Phone (719) 503-7045

Other names 1

  • USADC FT. CARSON 1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evans Army Community Hospital25 organizations share this tax ID, including this one
Part of
Evans Army Community Hospital

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1124221619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "address_2": "ATTN: THIRD PARTY OFFICE",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134603",
            "telephone_number": "719-503-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 QUINN STREET",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANS ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2007-06-11",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "BURLINGAME",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "719-526-7291"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USADC FT. CARSON 1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "USADC FT. CARSON 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.