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Organization Active NPI

Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
National Provider Identifier
1669564662
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0003392 Issued in IL
Legal business name
SARAH BUSH LINCOLN HEALTH CENTER
Practice address
1000 Health Center Dr
Mattoon, IL 61938-9253
Phone
(217) 258-2525
NPI assigned
Sep 28, 2006
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Sean Fischer, CFO
Title
Chief Financial Officer
Phone
(217) 258-2591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X 0003392 IL Primary

Addresses

Primary practice location

1000 Health Center Dr
Mattoon, IL 61938-9253

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, PA, MO, FL, CA, NY, VA, DC, CO, NH, SD, ME14 enrollments

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
O20031231000478 IL Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 667 practitioners
29 other NPIs on this enrollment
O20080102000099 IL Part A Provider - Hospital 5092614867
O20210603002072 TX Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Southlake, TX; Irving, TX; Houston, TX; Colleyville, TX
O20210603002281 PA Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Pittsburgh, PA
O20210609002589 MO Part B Supplier - Clinic/Group Practice 5092614867 1 other NPI on this enrollment
Practice locations: Saint Louis, MO
O20210715001392 FL Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Doral, FL; Palmetto Bay, FL
O20210813000742 CA Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Moraga, CA; Los Angeles, CA
O20211012001729 NY Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Watertown, NY
O20211116002216 VA Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Williamsburg, VA
O20230110000979 DC Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Gaithersburg, MD
O20230725004239 CO Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Colorado Springs, CO
O20231027001393 NH Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: West Lebanon, NH
O20231106002874 SD Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Sioux Falls, SD
O20240206001582 ME Part B Supplier - Clinic/Group Practice 5092614867 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Scarborough, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669564662. Details of each certification follow.

Hospital certification: CCN 140189

Legal name
SARAH BUSH LINCOLN HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 1, 1973
Last certification
Oct 15, 2016
Beds
203
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 18, 1970 in IL
Enrollment address
1000 Health Center Dr
Mattoon, IL 61938-4644
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Sarah Bush Lincoln Health CenterCCN 140189 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

2040 Lincoln Ave
Ste 100
Charleston, IL 61920
Phone (217) 345-2030

1303 W Evergreen Ave
Ste 201
Effingham, IL 62401
Phone (217) 347-1422

890 E Ridgelawn Rd
Martinsville, IL 62442
Phone (217) 382-4004

200 Richmond Ave E
Ste 3
Mattoon, IL 61938
Phone (217) 234-7000

807 W Jourdan St
Newton, IL 62448
Phone (618) 783-3800

7 Hawthorne Ln
Ste A
Sullivan, IL 61951
Phone (217) 728-8441

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
Steve L Childers Individual Corporate OfficerChair Jul 1, 2018
Lee Taylor Individual Corporate OfficerTreasurer Jan 1, 2023
Mike Genta Individual Corporate OfficerBoard Member Jul 1, 2021
James E Zimmer Individual Corporate OfficerBoard Member Jul 1, 2018
Jay Gatrell Individual Corporate OfficerSecretary Jan 1, 2024
Dale Boyer Individual Corporate OfficerBoard Member Jul 1, 2019
Josh Bullock Individual Corporate OfficerVice Chair Jul 1, 2023
Lucas L Catt Individual Corporate OfficerPhysician Officer Jul 1, 2018
Sarah Bush Lincoln Health System Organization, Mattoon, IL Non-profit 5% Or Greater Direct Ownership Interest Apr 25, 1983 100%
Sean Fischer Individual Corporate DirectorVice President Finance & Cfo Sep 1, 2024
Jordan Koerner Individual Corporate OfficerBoard Member Jul 1, 2025
Kimberly a Uphoff Individual Corporate DirectorPresident & Ceo Aug 1, 2022
W-2 Managing EmployeePresident & Ceo Aug 1, 2022
Jennifer Garrison Individual Corporate OfficerBoard Member Jul 1, 2024
Amy Shafer Individual Corporate OfficerBoard Member Jul 1, 2025
Holly Adams Individual Corporate OfficerBoard Member Jul 1, 2023
Fatima Alao Individual Corporate OfficerPhysician Officer Jul 1, 2023
Michael Radliff Individual Corporate OfficerBoard Member Jul 1, 2023

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fayette County HospitalVandalia, IL, CCN 145499 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 688

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 688

Affiliated clinicians 633

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

View all 633

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1669564662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DR",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389253",
            "telephone_number": "217-258-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH BUSH LINCOLN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "217-258-2591",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0003392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.