# EVANS ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVANS ARMY COMMUNITY HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376986240
- **Legal business name:** EVANS ARMY COMMUNITY HOSPITAL
- **Authorized official:** ELIZABETH BURLINGAME (UBO MANAGER)
- **Authorized official phone:** (719) 526-7291

## Contact information

- **Practice address:** BUILDING 9481 WILDERNESS RD, FT CARSON, CO 80913
- **Practice address phone:** (719) 526-7000
- **Mailing address:** EVANS ARMY COMMUNITY HOSPITAL 1650 COCHRANE CIR, BLDG 7500 ROOM 1036 ATTN: TREASURERS OFFICE, FT CARSON, CO 80913-4604
- **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:** 04/10/2013
- **Last updated:** 02/26/2018
