# EVANS ARMY COMMUNITY HOSPITAL

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

## Provider details

- **NPI number:** 1639402274
- **Authorized official:** NICHOLAS PIANTANIDA M.D. (DCCS)
- **Authorized official phone:** (719) 526-5231

## Contact information

- **Practice address:** 1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
- **Practice address phone:** (719) 526-5231
- **Mailing address:** 6818 SASSER DR APT A, COLORADO SPRINGS, CO 80902-4340
- **Mailing address phone:** (719) 559-5642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 678319 | TX | Yes |

## Other

- **Enumeration date:** 09/15/2009
- **Last updated:** 09/15/2009