# EVANS ARMY COMMUNITY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVANS ARMY COMMUNITY HOSPITAL
- **Other names:** WARRIOR CLINIC-CARSON
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336355056
- **Legal business name:** EVANS ARMY COMMUNITY HOSPITAL
- **Authorized official:** ELIZABETH BURLINGAME (UBO MANAGER)
- **Authorized official phone:** (719) 526-7291

## Contact information

- **Practice address:** 6911 TITUS BLVD, BLDG 2353 WARRIOR FAMILY MEDICINE CLINIC, FORT CARSON, CO 80913-4429
- **Practice address phone:** (719) 526-9277
- **Mailing address:** 1650 COCHRANE CIR, ATTN THIRD PARTY OFFICE, FORT CARSON, CO 80913-4603
- **Mailing address phone:** (719) 503-7045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 11/17/2015