NPI 1104897693

Evans Army Community Hospital

Organisation Military Hospital Ft Carson, CO

Practice location

Address: 1650 Cochrane Cir, Ft Carson, CO 80913-4603
Phone: (719) 524-4373
Mailing address: 9351 Bar B Rd, Fountain, CO 80817-3390

Authorised official

Name: Avis Ellen Vencill
Title: Lpn
Phone: (719) 524-4373

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence 18334 (CO)

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Registry record

NPI: 1104897693
Entity type: Organization
NPI issued: 1 Feb 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.