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Abraham Lincoln Memorial Hospital

Organization Active NPI Critical Access Hospital · Lincoln, IL

NPI 1154329753 · NPPES record last updated Mar 13, 2012

Key facts

NPI
1154329753
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
0005728 (IL)
Legal business name
ABRAHAM LINCOLN MEMORIAL HOSPITAL
Practice address
200 Stahlhut Dr
Lincoln, IL 62656-5066
Phone
(217) 732-2161
Fax
(217) 735-3526
NPI assigned
Jul 8, 2005
Organization subpart
No

Authorized official

Name
Mrs. Marla G Shanle
Title
Patient Account Manager
Phone
(217) 605-5611

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

Affiliated clinicians 228

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 228

Medicare Care Compare: Hospital

Listed as
Abraham Lincoln Memorial Hospital CCN 141322
Overall star rating
★★★★☆ 4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Hospital certification: CCN 141322

Legal name
ABRAHAM LINCOLN MEMORIAL HOSPITAL
Doing business as
LINCOLN MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2003
Last certification
Jan 28, 2003
Beds
15
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Feb 19, 1948 in IL
Enrollment address
200 Stahlhut Dr
Lincoln, IL 62656-5066
Main/Primary Hospital Location

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mary Michelle Bauer
Individual 		Corporate Director
Board Member		 Feb 20, 2019
Lynn M Paulus
Individual 		Corporate Director
Board Member		 Mar 1, 2023
Tamar Kutz
Individual 		Corporate Officer Oct 27, 2025
W-2 Managing Employee
Ceo		 Oct 27, 2025
Andrea Runge
Individual 		Corporate Director
Board Member		 Jan 1, 2023
Rikeesha V Phelon
Individual 		Corporate Director
Board Member		 Feb 17, 2021
LC Sutton
Individual 		Corporate Director
Board Member		 Mar 1, 2023
Kraig Kruse
Individual 		Corporate Director
Board Member		 Jan 1, 2026
Christine a Short
Individual 		Corporate Director
Board Member		 Feb 20, 2019
Kent Froebe
Individual 		Corporate Director
Board Member		 Mar 1, 2023
Michael T Fleshman
Individual 		Corporate Director
Board Member		 Mar 1, 2023
Memorial Health System
Organization · Springfield, IL
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Oct 1, 1994 100%
Christopher Graue
Individual 		Corporate Director
Board Member		 Feb 1, 2018
Andrew Hayes
Individual 		Corporate Director
Board Member		 Feb 1, 2017
Kathryn J Keim
Individual 		Corporate Officer
Cfo		 Jan 1, 2019
Stephanie Seaman
Individual 		W-2 Managing Employee
Provider Enrollment Coordinator		 Feb 3, 2014
Melissa Lynn Cox
Individual 		Corporate Director
Board Member		 Jan 1, 2026
Julie C Bates
Individual 		Corporate Director
Board Member		 Feb 17, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20191108001891 IL Part a Provider - Critical Access Hospital 9436040573 Receives reassigned benefits from 43 practitioners
Practice locations: Lincoln, IL

National Provider Directory

Tax ID family
Abraham Lincoln Memorial Hospital (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0005728 IL Yes

Addresses

Primary practice location

200 Stahlhut Dr
Lincoln, IL 62656-5066

Mailing address

200 Stahlhut Dr
Lincoln, IL 62656-5066
Phone (217) 732-2161

Other identifiers

IdentifierTypeStateIssuer
272OtherILBLUE CROSS

Other providers in Lincoln, IL

All providers in Lincoln, IL · Critical Access Hospital in Illinois

Sources for this page

Verify at the official NPI Registry.