MEDICARE: EVANS ARMY COMMUNITY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332000000X	Military/U.S. Coast Guard Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2003334	OTHER		PK

General Provider Information

NPI Number	:	1043319858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVANS ARMY COMMUNITY HOSPITAL

Provider Business Mailing Address
First Line	:	EVANS ARMY COMMUNITY HOSPITAL
Second Line	:	1650 COCHRANE CIR ATTN THIRD PARTY OFFICE
City	:	FT CARSON
State	:	CO
Zip	:	80913-4603
Country	:	US
Telephone Number	:	719-526-5286
Fax Number	:	719-526-2942

Provider Business Practice Location Address
First Line	:	6911 TITUS BLVD BLDG 2353
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4429
Country	:	US
Telephone Number	:	719-526-5286
Fax Number	:	719-526-2942

Authorized Official
Title or Position	:	DEPUTY DIRECTOR PHCY OPS CTR
Name	:	HECTOR MORALES
Credential	:
Telephone Number	:	210-221-8443

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/25/2023

Similar Medicare Providers

1336355056 — EVANS ARMY COMMUNITY HOSPITAL
Practice Location Address:

6911 TITUS BLVD , BLDG 2353 WARRIOR FAMILY MEDICINE CLINIC
FORT CARSON, CO
80913-4429

Practice Phone: 719-526-9277
Practice Fax:

1669718748 — DESEREE JONES LCSW, CAC III
Practice Location Address:

6909 TITUS BLVD
FORT CARSON, CO
80913-4429

Practice Phone: 719-503-1801
Practice Fax:

1336389717 — EPIC HEALTH SERVICES, INC.
Practice Location Address:

1200 SUMMIT AVE STE 880
FT WORTH, TX
76102-4429

Practice Phone: 817-698-9500
Practice Fax: 817-698-9506

1750837175 — MELODY LLOYD
Practice Location Address:

1200 SUMMIT AVE STE 880
FT WORTH, TX
76102-4429

Practice Phone: 817-698-9500
Practice Fax:

1770192759 — CLARA BOO CHAI PA
Practice Location Address:

1650 COCHRANE CIR # B7500
FT CARSON, CO
80913-4613

Practice Phone: 719-524-7282
Practice Fax:

1831558048 — SCOTT FINCHAM
Practice Location Address:

1650 COCHRANE CIR
FT CARSON, CO
80913-4604

Practice Phone: 719-526-3330
Practice Fax:

Directions to “EVANS ARMY COMMUNITY HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.