Organization · Type 2 NPI
Evans Army Community Hospital
Military/U.S. Coast Guard Outpatient Clinic/Center · Pueblo, CO
Practice location
45825 E State Highway 96
Pueblo, CO 81006-9330
Mailing address
1650 Cochrane Cir, Attn Third Party Office
Fort Carson, CO 80913-4603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center Primary | 261QM1100X | None listed |
Military/U.S. Coast Guard Outpatient Clinic/Center: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…
4 other providers at this address
- Pueblo Chemical Agent-Destruction Pilot PlantOccupational Medicine Clinic/Center Pueblo, CO NPI 1356088595
- Amanda Sarah Mahinalani Pascual, RNRegistered Nurse Pueblo, CO NPI 1164090882
- David Charles Meyer, MDFamily Medicine Physician Pueblo, CO NPI 1255310512
- Paul Glenn Merchant Jr., MDPreventive Medicine/Occupational Environmental Medicine Physician Pueblo, CO NPI 1609896299
About NPI 1669686754
Evans Army Community Hospital's National Provider Identifier is 1669686754, issued on May 9, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Pueblo, CO. The record was last updated on Apr 1, 2014.