Organization
EVANS ARMY COMMUNITY HOSPITAL
Active
Parent organization
EVANS ARMY COMMUNITY HOSPITAL
Other names
Carson FHP PHCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVANS ARMY COMMUNITY HOSPITAL
Authorized official
MR. HECTOR MORALES (DEPUTY DIRECTOR OF PHARMACY OPS CTR)
(210) 221-8443
Entity
Organization
Contact information
Practice address
1650 COCHRANE CIR BLDG 7500, FORT CARSON, CO 80913-4603
(719) 526-7334
Mailing address
1650 COCHRANE CIR, ATTN THIRD PARTY OFFICE, FORT CARSON, CO 80913-4603
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0621208
NCPDP
—
01
—
1497795702
PARENT FACILITY NPI
—
Enumeration date
03/05/2009
Last updated
07/25/2023
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