# EVANS ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVANS ARMY COMMUNITY HOSPITAL
- **Other names:** TMC 9-FT. CARSON DiRaimondo FMC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427264142
- **Legal business name:** EVANS ARMY COMMUNITY HOSPITAL
- **Authorized official:** ELIZABETH BURLINGAME (UBO MANAGER)
- **Authorized official phone:** (719) 526-7291

## Contact information

- **Practice address:** 7500 COCHRANE CIR, BLDG 1041 DIRAIMONDO FMC, FORT CARSON, CO 80913-4603
- **Practice address phone:** (719) 524-2047
- **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 |
| 332000000X | Military/U.S. Coast Guard Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 05/08/2015