NPIMap

Organization Active NPI

Lincoln Community Hospital

  • Critical Access Hospital
  • Hugo, CO
National Provider Identifier
1720107519
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
010150 Issued in 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
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 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 Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO3 enrollments

Enrollment records 3

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

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1720107519. Details of each certification follow.

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
OtherNon-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
OtherNon-profit
Incorporated
in CO
Enrollment address
111 6TH St
Hugo, CO 80821-0248
Other Hospital Practice Location

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Lincoln Health HospitalCCN 061306 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

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 DirectorBoard Member Jan 7, 2021
Dave M Stone Individual Corporate DirectorBoard Member Mar 11, 2020
Lorrie Coonts Individual Corporate DirectorBoard Member Mar 8, 2018
Kathy Richie Individual W-2 Managing EmployeeCompliance Officer Jun 1, 2016
W-2 Managing EmployeeCompliance Officer Nov 1, 2014
Kevin M Stansbury Individual Corporate OfficerCeo Nov 1, 2014
W-2 Managing EmployeeCeo Nov 1, 2014
Operational/Managerial ControlCeo Nov 1, 2014 100%
Darcy Howard Individual Contracted Managing EmployeeCfo Aug 9, 2023
Corporate OfficerCfo 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 DirectorBoard Member Jun 24, 2013
Patricia White Individual Corporate DirectorBoard Member Mar 3, 2002
Linda Orrell Individual Corporate DirectorBoard Member Jun 24, 2013
Josie Jones Individual Corporate DirectorBoard Member Jun 28, 2019
Angela Kobel Individual Corporate OfficerCfo Sep 1, 2021
W-2 Managing EmployeeCfo Sep 1, 2021
Operational/Managerial ControlCfo Sep 1, 2021
Lincoln Community Hospital Organization, Hugo, CO Operational/Managerial Control Nov 1, 2014

Owners & managing parties with NPI records 3

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 97

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 97

Affiliated clinicians 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1720107519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "HUGO",
            "state": "CO",
            "postal_code": "808210248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 6TH ST.",
            "city": "HUGO",
            "state": "CO",
            "postal_code": "808210248",
            "telephone_number": "719-743-2421",
            "fax_number": "719-623-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "STANSBURY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-743-2421"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "010150",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "17X799",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "17X799",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "CO",
            "license": "010150",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CO",
            "license": "010150",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "05653688",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, CO

Sources for this page

Verify at the official NPI Registry.