| Organization Name: | USA MEDDAC, EVANS ARMY COMMUNIT Y HOSPITAL |
| NPI Number: | 1720058514 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VANESSA CARR (LPN/PRACTICAL NURSE) |
| Mailing Address: | Evans Army Community Hospital Usa Meddac, Fort Carson |
| State: | CO US |
| Postal Code: | 809134604 |
| Phone Number: | 7195246463 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |