Evans Army Community Hospital
Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Carson, CO
NPI 1427264142 · NPPES record last updated May 8, 2015
Key facts
- NPI
- 1427264142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
- Legal business name
- EVANS ARMY COMMUNITY HOSPITAL
- Practice address
- 7500 Cochrane Cir
BLDG 1041 Diraimondo FMC
Fort Carson, CO 80913-4603 - Phone
- (719) 524-2047
- NPI assigned
- May 16, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- EVANS ARMY COMMUNITY HOSPITAL
Authorized official
- Name
- Elizabeth Burlingame
- Title
- Ubo Manager
- Phone
- (719) 526-7291
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Evans Army Community Hospital
- Part of
- Evans Army Community Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Yes | ||
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497795702 | Other | PARENT NPI |
Other names
- TMC 9-FT. CARSON DiRaimondo FMC
Other providers in Fort Carson, CO
- Evans Army Community Hospital
- Evans Army Community Hospital
- Evans Army Community Hospital
- Evans Army Community Hospital
- Evans Army Community Hospital
- Evans Army Community Hospital
- Evans Army Community Hospital
- Evans Army Community Hospital
- Evans Army Community Hospital
- Evans Army Community Hospital
All providers in Fort Carson, CO · Military/U.S. Coast Guard Outpatient Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.