EVANS ARMY COMMUNITY HOSPITAL (NPI# 1497795702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497795702 |
| Entity Type | Organization |
| Organization Name | EVANS ARMY COMMUNITY HOSPITAL |
| Other Organization Name | ACH EVANS-CARSON |
| Practice Address |
1650 Cochrane Cir Bldg 7500 Attn: Treasurer's Office Ft Carson CO 80913-4603 |
| Mailing Address |
1650 Cochrane Cir Attn: Third Party Office Ft Carson CO 80913-4603 |
| Practice Telephone | 7195267000 |
| Mailing Telephone | 7195037045 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | ELIZABETH BURLINGAME (UBO MANAGER) |
| Authorized Official Telephone | 7195267291 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities | ||
| N | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities | ||
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDCO | AN2598588 | 01 | |
| MAIN PHARMACY NCPDP | 0616637 | 01 |
| Other Name | Type Code |
|---|---|
| ACH EVANS-CARSON | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639689904 | Evans Army Community Hospital | Pharmacy | 565 Space Center Dr Ste 130, Colorado Springs, CO 80915-3610 | 2017-10-02 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| 1912340894 | Evans Army Community Hospital | Clinic/Center | Building 1226 Felkins St, Ft Carson, CO 80913 | 2013-04-10 |
| 1558704429 | Evans Army Community Hospital | Clinic/Center | Building 1657 Barkley Ave, Ft Carson, CO 80913 | 2013-04-10 |
| 1376986240 | Evans Army Community Hospital | Clinic/Center | Building 9481 Wilderness Rd, Ft Carson, CO 80913 | 2013-04-10 |
| 1770826968 | Evans Army Community Hospital | Clinic/Center | Bldg 2649 Specker Ave, Ft Carson, CO 80913 | 2013-04-05 |
| 1841568169 | Evans Army Community Hospital | Military Hospital | 2400 Cody Dr, Colorado Springs, CO 80911-1018 | 2011-12-01 |
| 1447565528 | Evans Army Community Hospital | Clinic/Center | 7503 Cochrane Cir, Usadc-2, Ft Carson, CO 80913-4603 | 2010-08-12 |
| 1861623936 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 3220 Union Blvd, Colorado Springs, CO 80907-4900 | 2009-08-06 |
| 1124221619 | Evans Army Community Hospital | Clinic/Center | 2356 Quinn Street, Fort Carson, CO 80913 | 2007-06-11 |
| Street Address |
1650 COCHRANE CIR BLDG 7500 ATTN: TREASURER'S OFFICE |
| City | FT CARSON |
| State | CO |
| Zip Code | 80913-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518263904 | Cynthia Franklin Sheridan | Nurse Anesthetist, Certified Registered | 1650 Cochrane Cir Bldg 7500, Ft Carson, CO 80913-4613 | 2011-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063787265 | Denver Va Medical Center | Military Hospital | 7579 W Portland Ave, Littleton, CO 80128-4468 | 2012-03-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.