NPIMap

Organization Active NPI

Evans Army Community Hospital

Doing business as TMC 9-FT. CARSON DiRaimondo FMC

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Carson, CO
National Provider Identifier
1427264142
Registry record updated May 8, 2015
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
TMC 9-FT. CARSON DiRaimondo FMC
Practice address
7500 Cochrane Cir
BLDG 1041 Diraimondo FMC
Fort Carson, CO 80913-4603
Phone
(719) 524-2047
NPI assigned
May 16, 2007
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
EVANS ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2015

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary
Military/U.S. Coast Guard Pharmacy 332000000X

Addresses

Primary practice location

7500 Cochrane Cir
BLDG 1041 Diraimondo FMC
Fort Carson, CO 80913-4603

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1497795702OtherPARENT NPI

Other names 1

  • TMC 9-FT. CARSON DiRaimondo FMC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evans Army Community Hospital26 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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1427264142",
    "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": "7500 COCHRANE CIR",
            "address_2": "BLDG 1041 DIRAIMONDO FMC",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134603",
            "telephone_number": "719-524-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANS ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-05-08",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT NPI",
            "identifier": "1497795702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMC 9-FT. CARSON DiRaimondo FMC",
            "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 May 8, 2015; 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.