ABRAHAM LINCOLN MEMORIAL HOSPITAL (NPI# 1003941105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003941105 |
| Entity Type | Organization |
| Organization Name | ABRAHAM LINCOLN MEMORIAL HOSPITAL |
| Practice Address |
200 Stahlhut Dr Lincoln IL 62656-5066 |
| Practice Telephone | 2177322161 |
| Practice Fax Number | 2177353526 |
| Mailing Telephone | 2177322161 |
| Mailing Fax Number | 2177353526 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-03-18 |
| Authorized Official Name | MRS. MARLA G SHANLE (PATIENT ACCOUNT MANAGER) |
| Authorized Official Telephone | 2176055611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
0000018 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329753 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2005-07-08 |
| 1558586180 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2007-04-17 |
| 1467677096 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2007-04-17 |
| 1730304361 | Abraham Lincoln Memorial Hospital | Anesthesiology | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2007-04-17 |
| 1912122532 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2007-04-17 |
| 1831107853 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 315 8th St, Lincoln, IL 62656-2671 | 2006-08-04 |
| 1255304721 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2006-02-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ABRAHAM LINCOLN MEMORIAL HOSPITAL, THE | 200 Stahlhut Dr, Lincoln, IL 62656-5066 |
| Street Address |
200 STAHLHUT DR |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329753 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2005-07-08 |
| 1437502390 | Anthonia Ngozi Ijeli | Internal Medicine | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2016-07-15 |
| 1437506557 | Luis Alejandro Diaz Quintero | Internal Medicine | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2016-05-18 |
| 1033458450 | Mhs Heart Failure Clinic At Almh | Clinic/Center | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2013-02-05 |
| 1730441742 | Erica Beutel | Physical Therapy Assistant | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2012-06-14 |
| 1316209562 | Rhonda Kay Myers | Physical Therapy Assistant | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2012-06-13 |
| 1811259062 | Amy Christine Knox | Physical Therapist | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2012-06-13 |
| 1942562251 | Jodee Kay Leonard | Physical Therapist | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2012-06-12 |
| 1487916797 | Julie Cross | Physical Therapist | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2012-06-12 |
| 1700109782 | Karla J Carr | Occupational Therapist | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2010-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
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|---|---|---|---|---|
| 1831518539 | Anita Gupta | General Acute Care Hospital | 225 East Chicago Avenue Box -152, Chicago, IL 60611-2605 | 2014-04-09 |
| 1073855623 | The University of Chicagp | General Acute Care Hospital | 5841 S Maryland Ave Mc6082, University of Chicago, Chicago, IL 60637-1419 | 2013-03-21 |
| 1699020370 | Gregory Hansen | General Acute Care Hospital | 225 E. Chicago Avenue, Box 51, Division of Neurology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2012-07-18 |
| 1831472380 | Advocate Hope Children's Hospital | General Acute Care Hospital | 10515 Lexington Ln., Frankfort, IL 60423-2209 | 2011-09-21 |
| 1285946293 | Mt. Sinai Hospital | General Acute Care Hospital | 15 California Ave., F 444, Chicago, IL 60608-3640 | 2010-07-07 |
| 1265752844 | Hshs Medical Group | General Acute Care Hospital | 1900 E Lake Shore Dr Ste 330, Suite 330, Decatur, IL 62521-3848 | 2010-06-07 |
| 1326288465 | Harvey Buchman | General Acute Care Hospital | 1125 N Bluebonnet Ln, Hoffman Estates, IL 60169-4430 | 2009-03-03 |
| 1801058086 | Children's Memorial Hospital | General Acute Care Hospital | 1250 S Michigan Ave Apt 810, Chicago, IL 60605-3268 | 2008-06-27 |
| 1659545986 | Mount Sinai Medical Center | General Acute Care Hospital | 5030 N Ridgeway Ave Unit 2, Chicago, IL 60625-6022 | 2008-04-17 |
| 1619021359 | Childrens Memorial Hospital | General Acute Care Hospital | 2731 Harrison St, Evanston, IL 60201-1215 | 2007-01-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.