Organization
EVANS ARMY COMMUNITY HOSPITAL
Active
Parent organization
EVANS ARMY COMMUNITY HOSPITAL
Other names
EBH TEAM 5-FT. CARSON
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
BUILDING 1226 FELKINS ST, FT CARSON, CO 80913
(719) 526-7000
Mailing address
1650 COCHRANE CIR, ATTN THIRD PARTY OFFICE, FT CARSON, CO 80913-4613
(719) 503-7045
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497795702
PARENT FACILITY NPI
—
Enumeration date
04/10/2013
Last updated
05/08/2015
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