NPIMap

Evans Army Community Hospital

Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Pueblo, CO

NPI 1669686754 · NPPES record last updated Apr 1, 2014

Key facts

NPI
1669686754
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
45825 E State Highway 96
Pueblo, CO 81006-9330
Phone
(719) 526-7000
NPI assigned
May 9, 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

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Evans Army Community Hospital (26 organizations share this tax ID)
Part of
Evans Army Community Hospital

Specialties & licenses

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

Addresses

Primary practice location

45825 E State Highway 96
Pueblo, CO 81006-9330

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
1497795702OtherPARENT FACILITY NPI 2

Other names

  • PUEBLO CIV EMP HLTH CLINIC Doing business as

Other providers in Pueblo, CO

All providers in Pueblo, CO · Military/U.S. Coast Guard Outpatient Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.