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Lincoln Community Hospital

Organization Active NPI Critical Access Hospital · Hugo, CO

NPI 1720107519 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1720107519
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
010150 (CO)
Legal business name
LINCOLN COMMUNITY HOSPITAL
Practice address
111 6TH St.
Hugo, CO 80821-0248
Phone
(719) 743-2421
Fax
(719) 623-3431
NPI assigned
Mar 29, 2007
Organization subpart
No

Authorized official

Name
Kevin Stansbury
Title
Ceo
Phone
(719) 743-2421

Owners & managing parties with NPI records 3

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 2

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

Facilities with the same owner 1

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

Practitioners 97

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

View all 97

Affiliated clinicians 49

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

View all 49

Medicare Care Compare: Hospital

Listed as
Lincoln Health Hospital CCN 061306
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in CO

Hospital certification: CCN 061306

Legal name
LINCOLN COMMUNITY HOSPITAL
Doing business as
LINCOLN HEALTH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 24, 2000
Last certification
Nov 21, 2024
Beds
25
Ownership / control type
Other
Organization structure
Other · Non-profit
Enrollment address
111 6TH St
Hugo, CO 80821-0248
Other Hospital Practice Location

Hospital certification: CCN 06Z306

Legal name
LINCOLN COMMUNITY HOSPITAL
Doing business as
LINCOLN HEALTH HOSPITAL
Organization structure
Other · Non-profit
Incorporated
in CO
Enrollment address
111 6TH St
Hugo, CO 80821-0248
Other Hospital Practice Location

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Sarah Nuss
Individual 		Corporate Director
Board Member		 Jan 7, 2021
Dave M Stone
Individual 		Corporate Director
Board Member		 Mar 11, 2020
Lorrie Coonts
Individual 		Corporate Director
Board Member		 Mar 8, 2018
Kathy Richie
Individual 		W-2 Managing Employee
Compliance Officer		 Jun 1, 2016
W-2 Managing Employee
Compliance Officer		 Nov 1, 2014
Kevin M Stansbury
Individual 		Corporate Officer
Ceo		 Nov 1, 2014
W-2 Managing Employee
Ceo		 Nov 1, 2014
Operational/Managerial Control
Ceo		 Nov 1, 2014 100%
Darcy Howard
Individual 		Contracted Managing Employee
Cfo		 Aug 9, 2023
Corporate Officer
Cfo		 Aug 9, 2023
County of Lincoln
Organization · Hugo, CO
Non-profit 		Operational/Managerial Control Jan 1, 1966
Other Jan 1, 1966
Jack Cross
Individual 		Corporate Director
Board Member		 Jun 24, 2013
Patricia White
Individual 		Corporate Director
Board Member		 Mar 3, 2002
Linda Orrell
Individual 		Corporate Director
Board Member		 Jun 24, 2013
Josie Jones
Individual 		Corporate Director
Board Member		 Jun 28, 2019
Angela Kobel
Individual 		Corporate Officer
Cfo		 Sep 1, 2021
W-2 Managing Employee
Cfo		 Sep 1, 2021
Operational/Managerial Control
Cfo		 Sep 1, 2021
Lincoln Community Hospital
Organization · Hugo, CO 		Operational/Managerial Control Nov 1, 2014

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20101018001199 CO Part a Provider - Critical Access Hospital 8729987219 Receives reassigned benefits from 47 practitioners
Practice locations: Flagler, CO; Hugo, CO; Limon, CO
O20101021000555 CO Part a Provider - Critical Access Hospital 8729987219 Practice locations: Hugo, CO
O20161208000347 CO Part B Supplier - Clinic/Group Practice 8729987219 Receives reassigned benefits from 82 practitioners
1 other NPI on this enrollment
Practice locations: Byers, CO; Hugo, CO

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X 010150 CO
Home Health Agency 251E00000X 17X799 CO
Community Based Hospice Care Agency 251G00000X 17X799 CO
Dental Clinic/Center 261QD0000X
Medicare Defined Swing Bed Hospital Unit 275N00000X 010150 CO
Critical Access Hospital 282NC0060X 010150 CO Yes
Critical Access Hospital 282NC0060X
Skilled Nursing Facility 314000000X 05653688 CO
Ambulance 341600000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

111 6TH St.
Hugo, CO 80821-0248

Mailing address

PO Box 248
Hugo, CO 80821-0248

Other identifiers

IdentifierTypeStateIssuer
05062005MedicaidCO
05653688MedicaidCO
05655907MedicaidCO
05701735MedicaidCO

Other providers in Hugo, CO

All providers in Hugo, CO · Critical Access Hospital in Colorado

Sources for this page

Verify at the official NPI Registry.