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Organization
LINCOLN COMMUNITY HOSPITAL
Active
Organization
LINCOLN COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN STANSBURY (CEO)
(719) 743-2421
Entity
Organization
Contact information
Practice address
111 6TH ST., HUGO, CO 80821-0248
(719) 743-2421
(719) 623-3431
Mailing address
PO BOX 248, HUGO, CO 80821-0248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
010150
CO
251E00000X
Home Health Agency
17X799
CO
251G00000X
Community Based Hospice Care Agency
17X799
CO
261QD0000X
Dental Clinic/Center
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
010150
CO
282NC0060X
Critical Access Hospital
Primary
010150
CO
282NC0060X
Critical Access Hospital
—
—
314000000X
Skilled Nursing Facility
05653688
CO
341600000X
Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05062005
—
CO
05
—
05653688
—
CO
05
—
05655907
—
CO
05
—
05701735
—
CO
Enumeration date
03/29/2007
Last updated
09/06/2024
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