NPIMap

Organization Active NPI

Evans Army Community Hospital

Doing business as Mountain Post Behavioral Health Clinic

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Carson, CO
National Provider Identifier
1508101155
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
Mountain Post Behavioral Health Clinic
Practice address
6541 Specker Ave
BLDG 1830
Ft Carson, CO 80913-4263
Phone
(719) 526-7104
NPI assigned
Dec 10, 2012
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 1

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

Addresses

Primary practice location

6541 Specker Ave
BLDG 1830
Ft Carson, CO 80913-4263

Mailing address

1650 Cochrane Cir
Attn Third Party Office
Ft Carson, CO 80913-4613
Phone (719) 503-7045

Other identifiers 1

IdentifierTypeStateIssuer
1497795702OtherPARENT BILLING FACILITY EVANS ACH NPI

Other names 1

  • Mountain Post Behavioral Health Clinic 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

Locations

6541 Specker Ave
Bldg 1830
Ft Carson, CO 80913
Phone (719) 503-7070

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1508101155",
    "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": "809134613",
            "telephone_number": "719-503-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6541 SPECKER AVE",
            "address_2": "BLDG 1830",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134263",
            "telephone_number": "719-526-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANS ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2012-12-10",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT BILLING FACILITY EVANS ACH NPI",
            "identifier": "1497795702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Post Behavioral Health Clinic",
            "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.