Blessing Dialysis Center of Pittsfield
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pittsfield, IL
NPI 1285850008 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1285850008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- BLESSING DIALYSIS CENTER OF PITTSFIELD
- Practice address
- 640 W Washington St
Pittsfield, IL 62363-1350 - Phone
- (217) 223-8400
- Fax
- (217) 223-9945
- NPI assigned
- Apr 18, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- BLESSING HOSPITAL
Authorized official
- Name
- Vicky Frericks
- Title
- Enrollments
- Phone
- (217) 223-8400
National Provider Directory
- Part of
- Blessing Hosp Cardiolog
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
640 W Washington St
Pittsfield, IL 62363-1350
Mailing address
640 W Washington St
Pittsfield, IL 62363-1350
Phone (217) 223-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLUE CROSS | Other | IL | 0123 |
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 Pittsfield, IL
- Kelly Marie Baker
- Cory Barnes
- Nanette Montgomery Bess
- Best Buy Pharmacy of Pittsfield
- Blessing Care Corp.
- Blessing Hospital
- Blessing Hospital
- Blessingcare Corporation
- Blessingcare Corporation
- Blessingcare Corporation
All providers in Pittsfield, IL · End-Stage Renal Disease (ESRD) Treatment 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 Jan 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.