# EVANS ARMY COMMUNITY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TERRI WISNIEWSKI
- **Other names:** N/A
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841568169
- **Legal business name:** TERRI WISNIEWSKI
- **Authorized official:** DR. MARY DEIGHTON DO (PRIMARY CARE MANAGER)
- **Authorized official phone:** (719) 526-9277

## Contact information

- **Practice address:** 2400 CODY DR, COLORADO SPRINGS, CO 80911-1018
- **Practice address phone:** (719) 392-0737
- **Mailing address:** 2400 CODY DR, COLORADO SPRINGS, CO 80911-1018
- **Mailing address phone:** (719) 392-0737

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2011
- **Last updated:** 12/01/2011