| Organization Name: | EVANSARMYCOMMUNITYHOSPITAL |
| NPI Number: | 1902875073 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER JAMES FARRAR (PRACTICAL NURSE) |
| Mailing Address: | 1041 Oconnell St. Ft. Carson |
| State: | CO US |
| Postal Code: | 80913 |
| Phone Number: | 7195242087 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 23366 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |