Organization
ACH EVANS-CARSON
Active
Parent organization
ACH EVANS-CARSON
Other names
ACH EVANS-CARSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACH EVANS-CARSON
Authorized official
MS. ELIZABETH MARGARITA MARIA BURLINGAME (CHIEF, UNIFORM BUSINESS OFFICE)
(719) 526-7291
Entity
Organization
Contact information
Practice address
1650 COCHRANE CIR BLDG 7500, ATTN: TREASURER'S OFFICE, FT CARSON, CO 80913-4603
(719) 526-7000
Mailing address
1650 COCHRANE CIR BLDG 7500, FT CARSON, CO 80913-4613
(800) 642-6700
(719) 526-7247
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
2865M2000X
Military General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0616637
MAIN PHARMACY NCPDP
—
01
—
AN2598588
MEDCO
—
Enumeration date
06/07/2006
Last updated
05/21/2025
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