NPIMap

Organization Active NPI

Blessing Hospital

Doing business as Blessing Health Kahoka

  • Rural Health Clinic/Center
  • Kahoka, MO
National Provider Identifier
1104512805
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BLESSING HOSPITAL
Doing business as
Blessing Health Kahoka
Practice address
103 E Commercial St
Kahoka, MO 63445-1701
Phone
(660) 727-3377
Fax
(660) 727-3775
NPI assigned
Apr 14, 2023
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BLESSING HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maureen Kahn
Title
BCS Ceo
Phone
(217) 223-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

103 E Commercial St
Kahoka, MO 63445-1701

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Other names 1

  • Blessing Health Kahoka Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241021003778 MO Part A Provider - Rural Health Clinic 3072422534 Practice locations: Kahoka, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104512805. Details of each certification follow.

Rural health clinic certification: CCN 268809

Legal name
BLESSING HOSPITAL
Doing business as
BLESSING HEALTH KAHOKA
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 18, 2024
Last certification
Aug 18, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 29, 1973 in IL
Enrollment address
103 E Commercial St
Kahoka, MO 63445-1701
Related CCNs
140015

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0707926Blessing Health Kahoka103 Commercial St, Kahoka, MO 63445Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
Blessing Hosp Pathology35 organizations share this tax ID, including this one
Part of
Blessing Hosp Pathology

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Miller Individual Corporate DirectorBoard Member Jan 1, 2013
Mohamed Ali Individual Corporate DirectorBoard Member Oct 16, 2017
Benjamin Van Ness Individual Corporate DirectorBoard Member Feb 1, 2022
Timothi J. Beth Individual Corporate DirectorBoard Member Jan 1, 2022
Nancy Bluhm Individual Corporate DirectorBoard Member Feb 1, 2017
Jeannie Goodman Individual Corporate DirectorBoard Member Aug 21, 2023
Patrick Gerveler Individual Corporate OfficerCfo Apr 1, 2001
Corporate DirectorBoard Member Apr 1, 2001
Abby Reich Individual Corporate DirectorBoard Member Jan 1, 2013
John Arnold Individual Corporate DirectorBoard Member Jan 25, 2024
Blessing Corporate Services, Inc. Organization, Quincy, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 18, 2024 100%
Brian Canfield Individual Corporate OfficerPresident / Ceo Aug 15, 2022
Corporate DirectorBoard Member Aug 15, 2022
Operational/Managerial Control Jul 1, 2023
Mark Baumann Individual Corporate DirectorBoard Member Jan 25, 2024
Timothy Koontz Individual Corporate DirectorBoard Member May 8, 2006
Allison Hall Individual Corporate DirectorBoard Member Jan 25, 2024
James Rinella Individual Corporate DirectorBoard Member Jan 25, 2024
Julie Brink Individual Corporate DirectorBoard Member Oct 16, 2017
Steven Krause Individual Corporate DirectorBoard Member Jan 25, 2024
Julie Duke Individual Corporate OfficerChief Revenue Cycle Officer Dec 1, 2022

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Change-of-ownership history 1

DateEventCounterparty
Aug 18, 2024 Change of OwnershipThis provider was the buyer Kahoka Medical ClinicCCN 793852, MO, NPI 1245427608

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1104512805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E COMMERCIAL ST",
            "city": "KAHOKA",
            "state": "MO",
            "postal_code": "634451701",
            "telephone_number": "660-727-3377",
            "fax_number": "660-727-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSING HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLESSING HOSPITAL",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "BCS CEO",
        "authorized_official_telephone_number": "217-223-8400"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blessing Health Kahoka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kahoka, MO

Sources for this page

Verify at the official NPI Registry.