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Organization

US ARMY HEALTH CLINIC

Active
Parent organization
EVANS ARMY COMMUNITY HOSPITAL
Other names
OHC TOOELE ARMY DEPOT
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
TOOELE ARMY DEPOT, BLDG 400, TOOELE, UT 84074
(435) 831-3311
Mailing address
5116 KISTER AVE, ATTN MSA OFFICE, DUGWAY, UT 84022-1097
(435) 831-3313

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary

Other

Enumeration date
05/09/2007
Last updated
11/17/2015
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