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Organization

EVANS ARMY COMMUNITY HOSPITAL

Active
Other names
CARSON WARRIOR PHCY
Organization subpart
No

Provider details

NPI number
Authorized official
HECTOR MORALES (DEPUTY DIRECTOR PHCY OPS CTR)
(210) 221-8443
Entity
Organization

Contact information

Practice address
6911 TITUS BLVD BLDG 2353, FT CARSON, CO 80913-4429
(719) 526-5286
(719) 526-2942
Mailing address
EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR ATTN THIRD PARTY OFFICE, FT CARSON, CO 80913-4603
(719) 526-5286
(719) 526-2942

Taxonomy

Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2003334
PK
Enumeration date
09/21/2006
Last updated
07/25/2023
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