NPIMap

Organization Active NPI

Blessing Hospital

  • Multi-Specialty Clinic/Center
  • Quincy, IL
National Provider Identifier
1114471737
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BLESSING HOSPITAL
Practice address
1005 Broadway St
Quincy, IL 62301-2834
Phone
(217) 223-8400
NPI assigned
Aug 11, 2016
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BLESSING HOSPITAL RADIATION ONCOLOGY GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Timothy Moore
Title
VP, Finance, Cao
Phone
(217) 223-8400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Radiation Oncology Physician 2085R0001X 0000141 IL

Addresses

Primary practice location

1005 Broadway St
Quincy, IL 62301-2834

Mailing address

1005 Broadway St
Quincy, IL 62301-2834

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 IL, MO, PA, TX, IA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20161005001836 IL Part B Supplier - Hospital Department(S) 3072422534 Receives reassigned benefits from 357 practitioners
Practice locations: Quincy, IL; Rushville, IL; Springfield, IL; Warsaw, IL; Payson, IL; Carthage, IL; Colchester, IL; Golden, IL…
O20171221000766 MO Part B Supplier - Clinic/Group Practice 3072422534 Receives reassigned benefits from 195 practitioners
2 other NPIs on this enrollment
Practice locations: Palmyra, MO; Monroe City, MO; Memphis, MO; Louisiana, MO; La Grange, MO; Kirksville, MO; Hannibal, MO; Kahoka, MO…
O20220110000496 PA Part B Supplier - Clinic/Group Practice 3072422534 Receives reassigned benefits from 1 practitioner
Practice locations: Ardmore, PA; Warminster, PA
O20220718002527 TX Part B Supplier - Clinic/Group Practice 3072422534 Receives reassigned benefits from 4 practitioners
Practice locations: Southlake, TX; Rosharon, TX; Prosper, TX; San Antonio, TX
O20221027001504 IA Part B Supplier - Clinic/Group Practice 3072422534 Receives reassigned benefits from 2 practitioners
Practice locations: Keokuk, IA

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Blessing Hospital Bariatric

Locations

101 Medical Dr
Hannibal, MO 63401

6996 County Road 326
Palmyra, MO 63461
Phone (573) 769-3710

Practitioners & affiliated clinicians

Practitioners 419

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 419

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1114471737",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSING HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLESSING HOSPITAL RADIATION ONCOLOGY GROUP",
        "enumeration_date": "2016-08-11",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VP, FINANCE, CAO",
        "authorized_official_telephone_number": "217-223-8400"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "0000141",
            "primary": false
        }
    ],
    "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": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.