| Organization Name: | LINCOLN COMMUNITY HOSPITAL |
| NPI Number: | 1083078489 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN PETERSEN (HUMAN RESOURCES) |
| Mailing Address: | 111 6th St Hugo |
| State: | CO US |
| Postal Code: | 808212002 |
| Phone Number: | 7197432155 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2016 |
| NPI Last Update Date: | 04/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC.0012747 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |