# EVANS ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104897693
- **Authorized official:** MRS. AVIS ELLEN VENCILL LPN (LPN)
- **Authorized official phone:** (719) 524-4373

## Contact information

- **Practice address:** 1650 COCHRANE CIR, FT CARSON, CO 80913-4603
- **Practice address phone:** (719) 524-4373
- **Mailing address:** 9351 BAR B RD, FOUNTAIN, CO 80817-3390
- **Mailing address phone:** (719) 382-9141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 18334 | CO | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 08/22/2020