Healthcare Provider Details

I. General information

NPI: 1609507409
Provider Name (Legal Business Name): LINCOLN COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 E FRONT ST
BYERS CO
80103-9727
US

IV. Provider business mailing address

PO BOX 248
HUGO CO
80821-0248
US

V. Phone/Fax

Practice location:
  • Phone: 303-822-5100
  • Fax: 303-822-5106
Mailing address:
  • Phone: 719-743-2421
  • Fax: 719-743-2355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KEVIN STANSBURY
Title or Position: CEO
Credential:
Phone: 719-743-2421