NPIMap

Organization Active NPI

Evans Army Community Hospital

Doing business as Mountain Post Med Home-Carson

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1225309644
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
Mountain Post Med Home-Carson
Practice address
565 Space Center Dr
Suite 130
Colorado Springs, CO 80915-3609
Phone
(719) 526-7000
NPI assigned
Jan 17, 2012
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

565 Space Center Dr
Suite 130
Colorado Springs, CO 80915-3609

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1497795702OtherPARENT FACILITY NPI

Other names 1

  • Mountain Post Med Home-Carson 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

Locations

565 Space Center Dr
Ste 130
Colorado Springs, CO 80915
Phone (719) 526-7334

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1225309644",
    "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": "FT 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": "565 SPACE CENTER DR",
            "address_2": "SUITE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809153609",
            "telephone_number": "719-526-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANS ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2012-01-17",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI",
            "identifier": "1497795702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Post Med Home-Carson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Post Med Home-Carson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, 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.