Blessing Hospital
Organization Active NPI Rural Health Clinic/Center · Quincy, IL
NPI 1043987571 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1043987571
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BLESSING HOSPITAL
- Practice address
- 420 N 34TH St
Quincy, IL 62301-7431 - Phone
- (217) 214-9626
- Fax
- (217) 214-9627
- NPI assigned
- Aug 24, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- BLESSING HOSPITAL
Authorized official
- Name
- Maureen Kahn
- Title
- President / Ceo
- Phone
- (217) 223-8400
Owners & managing parties with NPI records 7
-
William H Dixon, M.D
-
Prashanth Podaralla, M.D.
Other NPIs with the same Medicare PAC ID 20
Corporate family (same tax ID) 34
Related certifications (CCN) 2
Facilities with the same owner 20
Practitioners 414
-
Amy Lynn Adams, APN, FNP, PMHNP
-
Adesina Adedeji, MD
-
Michelle L Akan, CRNA
-
Ashley E Akhtar, ANP
-
Muhammad A Ali, M.D
-
Rebecca L Allen, LCPC
-
Jessica Elizabeth Althide, APRN, FNP-C
-
William A Andel, ANP
-
Cesar S Arguelles, M.D.
-
John H Arnold, M.D.
-
Deeanna Baird, NP
-
Alexandra Nicole Baker, CRNA
-
Mark Baker, M.D.
-
Amory S Balucating, MS, CCRN, CRNA, APN
-
Teresita Q Banez, CRNA
-
Eleanor Resane Banzon, M.D.
-
Mary F Barthel, MD
-
Jared Baudino, C.R.N.A.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2199062 | Blessing Express Clinic | Certificate of waiver | Nov 4, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Rural health clinic certification: CCN 148634
- Legal name
- BLESSING HOSPITAL
- Doing business as
- BLESSING EXPRESS CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- May 20, 2022
- Last certification
- May 20, 2022
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 29, 1973 in IL
- Enrollment address
- 420 N 34TH St
Quincy, IL 62301-7431 - Related CCNs
- 140015
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Mohamed Ali |
Corporate Director |
Oct 16, 2017 | |
| Amy Ruebush |
Corporate Director |
Mar 27, 2025 | |
| Joseph V Meyer |
Corporate Director |
Feb 1, 2026 | |
| Patrick Gerveler |
Corporate Officer |
Apr 1, 2001 | |
| Corporate Director |
Apr 1, 2001 | ||
| Abby Reich |
Corporate Director |
Jan 1, 2013 | |
| Prashanth Podaralla |
Corporate Director |
Feb 1, 2026 | |
| Blessing Corporate Services, Inc. |
Operational/Managerial Control | Jun 1, 2006 | |
| Mark Baumann |
Corporate Director |
Jan 25, 2024 | |
| Timothy Koontz |
Corporate Director |
May 8, 2006 | |
| Timothy Tranor |
Corporate Officer |
Apr 16, 2025 | |
| Corporate Director |
Apr 16, 2025 | ||
| Operational/Managerial Control |
Apr 16, 2025 | ||
| William H Dixon |
Corporate Director |
Feb 1, 2025 | |
| James Rinella |
Corporate Director |
Jan 25, 2024 | |
| Julie Brink |
Corporate Director |
Oct 16, 2017 | |
| Julie Duke |
Corporate Officer |
Dec 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210831000455 | IL | Part a Provider - Rural Health Clinic | 3072422534 | Practice locations: Quincy, IL |
National Provider Directory
- Tax ID family
- Blessing Hosp Cardiolog
- Part of
- Blessing Hosp Cardiolog
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
420 N 34TH St
Quincy, IL 62301-7431
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other names
- Blessing Express
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Quincy, IL
- Blessing Corporate Services Inc
- Blessing Corporate Services, Inc
- Blessing Corporate Services, Inc
- Blessing Corporate Services, Inc
- Blessing Corporate Services, Inc
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
All providers in Quincy, IL · Rural Health Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2022. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.