Department of the Army USA Meddac/Evans Army Community Hospital

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

150011 Issued in CO

Legal business name

DEPARTMENT OF THE ARMY USA MEDDAC/EVANS ARMY COMMUNITY HOSPITAL

Practice address

USA Meddac/Evans Army Community Hospital
OB/GYN Clinic 1650 Cochrane Cir
Ft Carson, CO 80911

Phone

(719) 526-7439

Fax

(719) 526-7850

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Terry Lynn Ball, REGISTERED NURSE

Title

R.N. OB/GYN Clinic Traige Departmen

Phone

(719) 526-7439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649248014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC/EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIRCLE OB/GYN CLINIC",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "80911",
            "telephone_number": "719-526-7439",
            "fax_number": "719-526-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC/EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "OB/GYN CLINIC 1650 COCHRANE CIR",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "80911",
            "telephone_number": "719-526-7439",
            "fax_number": "719-526-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF THE ARMY USA MEDDAC/EVANS ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "R.N. OB/GYN CLINIC TRAIGE DEPARTMEN",
        "authorized_official_telephone_number": "719-526-7439",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CO",
            "license": "150011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Gloria Delgado-Bryant, PHARM.D.
• Michael Denkewalter, PA-C
• Kimberly Nicole Denny, PA-C
• Denver Vamc
• Department of Defense
• Chad A Derosa, MD
• Ronald Anthony Deutsch, PA
• Peggy S Diaz de Leon, LPC, MAC, NCC,CACIII
• Felicia L. Diaz, LCSW
• Lourdes M. Diaz, LPC, CAC III

• Multi-Specialty Clinic/Center in Ft Carson, CO
• Providers in Ft Carson, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.