Organization
EVANS ARMY COMMUNITY HOSPITAL
Active
Parent organization
EVANS ARMY COMMUNITY HOSPITAL
Other names
USADC FT. CARSON LARSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVANS ARMY COMMUNITY HOSPITAL
Authorized official
ELIZABETH BURLINGAME (UBO MANAGER)
(719) 526-7291
Entity
Organization
Contact information
Practice address
1227 FELKINS STREET, FORT CARSON, CO 80913
(719) 526-3330
Mailing address
1650 COCHRANE CIR, ATTN: THIRD PARTY OFFICE, FORT CARSON, CO 80913-4603
(719) 503-7045
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
07/30/2014
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