ABRAHAM LINCOLN MEMORIAL HOSPITAL (NPI# 1255304721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255304721 |
| 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 | 2006-02-07 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0000018 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 50613 | 01 |
| 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 |
| 1003941105 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2007-02-22 |
| 1831107853 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 315 8th St, Lincoln, IL 62656-2671 | 2006-08-04 |
| 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 |
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| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831157288 | Lincoln County Hospital | General Acute Care Hospital | 624 N 2nd St, Lincoln, KS 67455-1738 | 2006-05-03 |
| 1942265327 | Lincoln County Hospital | General Acute Care Hospital | 624 N 2nd, Lincoln, KS 67455-0406 | 2006-04-19 |
| 1093716086 | Penobscot Valley Hospital | General Acute Care Hospital | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2005-08-02 |
| 1154329753 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2005-07-08 |
| 1831107853 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 315 8th St, Lincoln, IL 62656-2671 | 2006-08-04 |
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| 1174787394 | Nenita P Cudiamat | General Acute Care Hospital | 668 Warwick Dr, Carol Stream, IL 60188-4332 | 2008-07-16 |
| 1740479047 | Benjamin David Tyrrell | General Acute Care Hospital | 1580 Sherman Ave, Ph04, Evanston, IL 60201-4465 | 2007-10-23 |
| 1881801330 | Natalie L Hughes | General Acute Care Hospital | 14293 Cr 3900 E, San Jose, IL 62682 | 2007-05-16 |
| 1023138864 | Morrison Community Hospital | General Acute Care Hospital | 333 Chicago Ave, Savanna, IL 61074-1964 | 2007-03-29 |
| 1720131667 | A. Koranteng Medical Ltd | General Acute Care Hospital | 419 Ridgemoor Dr, Willowbrook, IL 60527-5418 | 2007-01-22 |
| 1932275641 | Carlinville Area Hospital Association | General Acute Care Hospital | 1001 Morgan St, Carlinville, IL 62626-1448 | 2006-11-27 |
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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.