National Provider Identifier Database

EVANS ARMY COMMUNITY HOSPITAL
Military/U.S. Coast Guard Outpatient

The Defense Health Program or U.S. Coast Guard funded ?fixed? facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A ?fixed? facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.


Contact Information

EVANS ARMY COMMUNITY HOSPITAL
6541 SPECKER AVE
BLDG 1830
FORT CARSON, CO80913-4263
Phone: 719-526-7104
Fax:
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X

* Indicates primary specialty

NPI Profile & details for EVANS ARMY COMMUNITY HOSPITAL

NPI Number 1508101155
Legal business name
LBN
EVANS ARMY COMMUNITY HOSPITAL
Authorized official ELIZABETH BURLINGAME - (UBO MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 12/10/2012
Last updated 05/08/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 1497795702 PARENT BILLING FACILITY EVANS ACH NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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