# EVANS ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568442044
- **Authorized official:** MS. JEANETTE A BOUNDS (HEALTH SYSTEMS SPECIALIST/CREDENTIA)
- **Authorized official phone:** (719) 526-7844

## Contact information

- **Practice address:** 1650 COCHRANE CIR, FAMILY PRACTICE, FORT CARSON, CO 80913-4603
- **Practice address phone:** (719) 526-7075
- **Mailing address:** 1650 COCHRANE CIR, FAMILY PRACTICE, FORT CARSON, CO 80913-4603
- **Mailing address phone:** (719) 526-7075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 764 | CO | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 08/22/2020