EVANS ARMY COMMUNITY HOSPITAL (NPI# 1861623936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861623936 |
| Entity Type | Organization |
| Organization Name | EVANS ARMY COMMUNITY HOSPITAL |
| Other Organization Name | CARSON PREMIER PHARMACY |
| Practice Address |
3220 Union Blvd Colorado Springs CO 80907-4900 |
| Mailing Address |
Evans Army Community Hospital 1650 Cochrane Cir Attn Third Party Office Colorado Springs CO 80913-4603 |
| Practice Telephone | 7195267334 |
| Practice Fax Number | 7195267749 |
| Mailing Telephone | 7195267334 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2015-06-08 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2121406 | 01 |
| Other Name | Type Code |
|---|---|
| CARSON PREMIER PHARMACY | Doing Business As Name - 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 |
| 1124221619 | Evans Army Community Hospital | Clinic/Center | 2356 Quinn Street, Fort Carson, CO 80913 | 2007-06-11 |
| 1215130703 | Evans Army Community Hospital | Clinic/Center | 1227 Felkins Street, Fort Carson, CO 80913 | 2007-06-11 |
| Street Address |
3220 UNION BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285012922 | 21st Medical Group | Military/U.S. Coast Guard Pharmacy | 220 Falcon Pkwy Bldg 220, Colorado Springs, CO 80912-5005 | 2015-05-14 |
| 1154742583 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 565 Space Center Dr, Suite 130, Colorado Springs, CO 80915-3609 | 2014-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982010955 | Usafa 10th Medical Group/sgsbr | Military/U.S. Coast Guard Pharmacy | 8118 Park Dr, Usaf Academy, CO 80840-2397 | 2014-07-10 |
| 1265845036 | Military Treatment Facility | Military/U.S. Coast Guard Pharmacy | 13611 E. Colfax Ave., Buckley Afb, CO 80011-9547 | 2014-06-09 |
| 1518173236 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 7490 Sutherland Circle, Robinson Family Medicine Clinic, Fort Carson, CO 80913-4603 | 2007-05-16 |
| 1164512497 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Evans Ach 7500 Cochrane Circle, Evans Army Community Hospital, Ft Carson, CO 80913-4603 | 2006-10-16 |
| 1679672380 | 21 Medical Group | Military/U.S. Coast Guard Pharmacy | 220 Falcon Pkwy, Schriever Afb, CO 80912-5005 | 2006-09-21 |
| 1518066273 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 6351 Wetzel Ave, Bldg 1525, Ft Carson, CO 80913-4188 | 2006-09-21 |
| 1114026820 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 7490 Southerland Circle, Robinson Clinic, Ft Carson, CO 80913 | 2006-09-21 |
| 1043319858 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 6911 Titus Blvd Bldg 2353, Ft Carson, CO 80913-4429 | 2006-09-21 |
| 1841397692 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 8119 Park Dr, Usaf Academy, CO 80840-2397 | 2006-09-20 |
| 1932206786 | 460th Medical Logistics Whs | Military/U.S. Coast Guard Pharmacy | 317 N Telluride St, Bldg 7, Buckley Afb, CO 80011-7809 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
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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.