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Organization

EVANS ARMY COMMUNITY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AVIS ELLEN VENCILL LPN (LPN)
(719) 524-4373
Entity
Organization

Contact information

Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4603
(719) 524-4373
Mailing address
9351 BAR B RD, FOUNTAIN, CO 80817-3390
(719) 382-9141

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
18334
CO

Other

Enumeration date
02/01/2006
Last updated
08/22/2020
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