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CAH061306-01 LINCOLN COMMUNITY HOSPITAL (Active)
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Main Details
Name
LINCOLN COMMUNITY HOSPITAL
Subdivision Name
Specialty Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061306-01
Medicare Provider Number
061306
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/17/2018
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Lincoln Community Hospital & Nursing Home
Kevin M. Stansbury, CEO
(719) 743-2421
Primary Contact
Lincoln Community Hospital
Erika Janelle Saffer, Compliance/Risk Management/Credentialing
(719) 743-2421 Ext: 3259
Addresses
Street Address
111 6th Street
Hugo, CO 80821
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2015, terminated 1/1/2018. Reinstated 4/1/2018.
01/17/2018
June 2025
June 2025
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