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Organization
EVANS ARMY COMMUNITY HOSPITAL
Active
Organization
EVANS ARMY COMMUNITY HOSPITAL
Active
Parent organization
EVANS ARMY COMMUNITY HOSPITAL
Other names
ROBINSON FAMILY MEDICINE CLINIC
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
7490 SUTHERLAND CIRCLE, ROBINSON FAMILY MEDICINE CLINIC, FORT CARSON, CO 80913-4603
(719) 524-4142
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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