EVANS ARMY COMMUNITY HOSPITAL (NPI# 1114026820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114026820 |
| Entity Type | Organization |
| Organization Name | EVANS ARMY COMMUNITY HOSPITAL |
| Other Organization Name | CARSON 10 TMC PHARMACY |
| Practice Address |
7490 Southerland Circle Robinson Clinic Ft Carson CO 80913 |
| Mailing Address |
Evans Army Community Hospital 1650 Cochrane Circle Bldg 7500 Room 1036 Attn Treasurers Office Ft Carson CO 80913-4604 |
| Practice Telephone | 7195244141 |
| Practice Fax Number | 7195242258 |
| Mailing Telephone | 7195244141 |
| Mailing Fax Number | 7195242258 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | Y |
| Parent Organization Name | EVANS ARMY COMMUNITY HOSPITAL |
| 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 | 2003335 | 01 |
| Other Name | Type Code |
|---|---|
| CARSON 10 TMC 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 |
| 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 |
7490 SOUTHERLAND CIRCLE ROBINSON CLINIC |
| City | FT CARSON |
| State | CO |
| Zip Code | 80913 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 1518066273 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 6351 Wetzel Ave, Bldg 1525, Ft Carson, CO 80913-4188 | 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 |
| 1720354079 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1650 Cochrane Cir, Bldg 7503, Ft Carson, CO 80913-4613 | 2012-03-30 |
| 1366612574 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1650 Cochrane Cir, Bldg 7500, Ft Carson, CO 80913-4613 | 2008-03-04 |
| 1588763239 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 7500 Cochrane Cir, Ft Carson, CO 80913 | 2006-09-21 |
| 1427157189 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 7500 Cochrane Cr, Ft Carson, CO 80913 | 2006-09-21 |
| 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 |
| 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 |
| 1861623936 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 3220 Union Blvd, Colorado Springs, CO 80907-4900 | 2009-08-06 |
| 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 |
| 1679672380 | 21 Medical Group | Military/U.S. Coast Guard Pharmacy | 220 Falcon Pkwy, Schriever Afb, CO 80912-5005 | 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 |
| 1023115870 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 | 2006-09-20 |
| 1114024965 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 2355 Faculty Dr Ste 1n207, Usaf Academy, CO 80840-1805 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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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.