NPIMap

Organization Active NPI

Abraham Lincoln Memorial Hospital

  • Critical Access Hospital
  • Lincoln, IL
National Provider Identifier
1154329753
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0005728 Issued in 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
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

200 Stahlhut Dr
Lincoln, IL 62656-5066

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154329753. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Feb 19, 1948 in IL
Enrollment address
200 Stahlhut Dr
Lincoln, IL 62656-5066
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Abraham Lincoln Memorial HospitalCCN 141322 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Abraham Lincoln Memorial Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

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 DirectorBoard Member Feb 20, 2019
Lynn M Paulus Individual Corporate DirectorBoard Member Mar 1, 2023
Tamar Kutz Individual Corporate Officer Oct 27, 2025
W-2 Managing EmployeeCeo Oct 27, 2025
Andrea Runge Individual Corporate DirectorBoard Member Jan 1, 2023
Rikeesha V Phelon Individual Corporate DirectorBoard Member Feb 17, 2021
LC Sutton Individual Corporate DirectorBoard Member Mar 1, 2023
Kraig Kruse Individual Corporate DirectorBoard Member Jan 1, 2026
Christine a Short Individual Corporate DirectorBoard Member Feb 20, 2019
Kent Froebe Individual Corporate DirectorBoard Member Mar 1, 2023
Michael T Fleshman Individual Corporate DirectorBoard 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 DirectorBoard Member Feb 1, 2018
Andrew Hayes Individual Corporate DirectorBoard Member Feb 1, 2017
Kathryn J Keim Individual Corporate OfficerCfo Jan 1, 2019
Stephanie Seaman Individual W-2 Managing EmployeeProvider Enrollment Coordinator Feb 3, 2014
Melissa Lynn Cox Individual Corporate DirectorBoard Member Jan 1, 2026
Julie C Bates Individual Corporate DirectorBoard Member Feb 17, 2021

Owners & managing parties with NPI records 1

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

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

Affiliated clinicians 228

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

View all 228

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1154329753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STAHLHUT DR",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626565066",
            "telephone_number": "217-732-2161",
            "fax_number": "217-735-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STAHLHUT DR",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626565066",
            "telephone_number": "217-732-2161",
            "fax_number": "217-735-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM LINCOLN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "SHANLE",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "217-605-5611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0005728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, IL

Sources for this page

Verify at the official NPI Registry.