EBH TEAM 5-FT. CARSON – NPI #1912340894
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 examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

Health Care Provider Taxonomy Code for Clinic/Center

EBH TEAM 5-FT. CARSON is an AHC clinic located in FORT CARSON, CO. NPPES has assigned the NPI number 1912340894 to EBH TEAM 5-FT. CARSON on April 10, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EBH TEAM 5-FT. CARSON” is a dba name, the actual legal business name for this organization is EVANS ARMY COMMUNITY HOSPITAL. The primary taxonomy selected by this provider is 261QM1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient

The NPI profile was previously updated about 11 years ago on May 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EBH TEAM 5-FT. CARSON below.

NPI Profile for
EVANS ARMY COMMUNITY HOSPITAL

NPI Number
1912340894
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVANS ARMY COMMUNITY HOSPITAL
Doing Business As (dba): EBH TEAM 5-FT. CARSON
Primary location
BUILDING 1226 FELKINS ST
FORT CARSON, CO 80913
Phone: (719) 526-7000 Fax:
Mailing address
1650 COCHRANE CIR
ATTN THIRD PARTY OFFICE
FT CARSON, CO 80913-4613
Phone: (719) 503-7045 Fax:
Organization Subpart
Yes - EBH TEAM 5-FT. CARSON is subpart of another organization.
Authorized Official
ELIZABETH BURLINGAME
UBO MANAGER
Phone: (719) 526-7291
Updated
Identifiers

Identifiers for EBH TEAM 5-FT. CARSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPARENT FACILITY NPI1497795702
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1100X
- Clinic/Center / Military/U.S. Coast Guard Outpatient (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.