| Organization Name: | DEPARTMENT OF THE ARMY USA MEDDAC/EVANS ARMY COMMUNITY HOSPITAL |
| NPI Number: | 1649248014 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY LYNN BALL (R.N. OB/GYN CLINIC TRAIGE DEPARTMEN) |
| Mailing Address: | Usa Meddac/evans Army Community Hospital Ob/gyn Clinic 1650 Cochrane Cir Ft Carson |
| State: | CO US |
| Postal Code: | 80911 |
| Phone Number: | 7195267439 |
| Fax Number: | 7195267850 |
| NPI Enumeration Date: | 03/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 150011 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |