Organization · Type 2 NPI

Evans Army Community Hospital

Military/U.S. Coast Guard Outpatient Clinic/Center · Pueblo, CO

NPI number 1669686754 Active

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

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone 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

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.