Organization
ABRAHAM LINCOLN MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI MALTIMORE (PATIENT ACCOUNT MANAGER)
(217) 605-5611
Entity
Organization
Contact information
Practice address
200 STAHLHUT DR, LINCOLN, IL 62656-5066
(217) 732-2161
(217) 735-3526
Mailing address
200 STAHLHUT DR, LINCOLN, IL 62656-5066
(217) 605-5611
(217) 735-3526
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
282N00000X
General Acute Care Hospital
Primary
0000018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE CROSS 054102720
PROFESSIONAL SERVICES
IL
01
—
C61676
MEDICARE RAILROAD
IL
Enumeration date
04/17/2007
Last updated
06/20/2019
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