Blessing Hospital
Organization Active NPI Hospitalist Physician · Quincy, IL
NPI 1235656745 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1235656745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 0000141 (IL)
- Legal business name
- BLESSING HOSPITAL
- Practice address
- 1005 Broadway St
Quincy, IL 62301-2834 - Phone
- (217) 223-8400
- Fax
- (217) 223-9945
- NPI assigned
- Aug 25, 2017
- Organization subpart
- No
Authorized official
- Name
- Timothy Moore
- Title
- VP Finance, Cao Blessing Corporate
- Phone
- (217) 223-8400
Other NPIs with the same Medicare PAC ID 20
Practitioners 418
-
Adesina Adedeji, MD
-
Eleanor Resane Banzon, M.D.
-
Mary F Barthel, MD
-
Elie A Chbeir, MD
-
Christopher James Coleman, AGACNP-BC
-
Brett Genenbacher, PA-C
-
Eric Gladstone, DO
-
Sushant Kapoor, D.O.
-
Tab Anthony Law, DO
-
Jason Mitchell Little, AGAC-NP
-
Lyndell L Lomax, CNP
-
Michael Marshall, NP
-
Danielle Elizabeth Miller, APRN-AGACNP
-
Maha Mumtaz, MD
-
Wayland J Mutter, RN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171016002218 | IL | Part B Supplier - Hospital Department(S) | 3072422534 |
Receives reassigned benefits from 45 practitioners Practice locations: Quincy, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | 0000141 | IL | Yes |
Addresses
Primary practice location
1005 Broadway St
Quincy, IL 62301-2834
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other names
- Blessing Hospitalist
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Quincy, IL
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
All providers in Quincy, IL · Hospitalist Physician in Illinois
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.