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Organization
EVANS ARMY COMMUNITY HOSPITAL
Active
Organization
EVANS ARMY COMMUNITY HOSPITAL
Active
Parent organization
EVANS ARMY COMMUNITY HOSPITAL
Other names
TMC 9-FT. CARSON DiRaimondo FMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVANS ARMY COMMUNITY HOSPITAL
Authorized official
ELIZABETH BURLINGAME (UBO MANAGER)
(719) 526-7291
Entity
Organization
Contact information
Practice address
7500 COCHRANE CIR, BLDG 1041 DIRAIMONDO FMC, FORT CARSON, CO 80913-4603
(719) 524-2047
Mailing address
1650 COCHRANE CIR, ATTN THIRD PARTY OFFICE, FORT CARSON, CO 80913-4603
(719) 503-7045
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
332000000X
Military/U.S. Coast Guard Pharmacy
—
NULL
Other
Enumeration date
05/16/2007
Last updated
05/08/2015
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