EVANS ARMY COMMUNITY HOSPITAL


Address: 6351 Wetzel Ave, Bldg 1525, Ft Carson, CO 80913-4188
Phone: 7195241060

EVANS ARMY COMMUNITY HOSPITAL (NPI# 1518066273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518066273
Entity Type Organization
Organization Name EVANS ARMY COMMUNITY HOSPITAL
Other Organization Name CARSON COMMISSARY PHARMACY
Practice Address 6351 Wetzel Ave
Bldg 1525
Ft Carson
CO 80913-4188
Mailing Address Evans Army Community Hospital
1650 Cochrane Cir Attn Third Party Office
Ft Carson
CO 80913-4603
Practice Telephone 7195241060
Practice Fax Number 7195267749
Mailing Telephone 2102218274
Enumeration Date 2006-09-21
Last Update Date 2015-01-20
Authorized Official Name HECTOR MORALES (DEPUTY DIRECTOR PHCY OPS CTR)
Authorized Official Telephone 2102218443
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2003338 01

Other Provider/Organization Names

Other Name Type Code
CARSON COMMISSARY PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 6351 WETZEL AVE
BLDG 1525
City FT CARSON
State CO
Zip Code 80913-4188

Providers in the same zip code

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 Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
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

Providers in the same taxonomy and state

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
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Competitor

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City FT CARSON
Zip Code 80913

Improve Information

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Dataset Information

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.

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