# EVANS ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVANS ARMY COMMUNITY HOSPITAL
- **Other names:** Mountain Post Behavioral Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508101155
- **Legal business name:** EVANS ARMY COMMUNITY HOSPITAL
- **Authorized official:** ELIZABETH BURLINGAME (UBO MANAGER)
- **Authorized official phone:** (719) 526-7291

## Contact information

- **Practice address:** 6541 SPECKER AVE, BLDG 1830, FT CARSON, CO 80913-4263
- **Practice address phone:** (719) 526-7104
- **Mailing address:** 1650 COCHRANE CIR, ATTN THIRD PARTY OFFICE, FT CARSON, CO 80913-4613
- **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:** 12/10/2012
- **Last updated:** 05/08/2015