Blessing Hospital
Organization Active NPI Hospitalist Physician · Hannibal, MO
NPI 1043724875 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1043724875
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 0000141 (IL)
- Legal business name
- BLESSING HOSPITAL
- Practice address
- 6000 Hospital Dr
Hannibal, MO 63401-6887 - Phone
- (573) 248-1300
- NPI assigned
- Dec 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Timothy A Moore
- Title
- VP Finance Cao Blessing Corporate
- Phone
- (217) 223-8400
Other NPIs on the same Medicare enrollment 2
Subparts reporting this organization as parent 11
Corporate family (same tax ID) 34
Practitioners 2
-
Alyssa Crowe, ACNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171221000766 | MO | Part B Supplier - Clinic/Group Practice | 3072422534 |
Receives reassigned benefits from 195 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Palmyra, MO; Monroe City, MO; Memphis, MO; Louisiana, MO; La Grange, MO; Kirksville, MO; Hannibal, MO; Kahoka, MO… |
National Provider Directory
- Tax ID family
- Blessing Hosp Cardiolog
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | 0000141 | IL | Yes |
Addresses
Primary practice location
6000 Hospital Dr
Hannibal, MO 63401-6887
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other names
- Hannibal Hospitalist Group
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Hannibal, MO
- Kory Dane Blank
- Rebekah Marie Blank
- Kelley Blasa
- Kae Lynn Blecha
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Emily Sue Bock
- Sarah Ann Boland
- Micheal Steven Boling
All providers in Hannibal, MO · Hospitalist Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.