NPIMap

Organization Active NPI

Blessing Hospital

Doing business as Blessing Health - 48th

  • Rural Health Clinic/Center
  • Quincy, IL
National Provider Identifier
1326630831
Registry record updated Nov 14, 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 - 48th
Practice address
4800 Maine St
Quincy, IL 62305-5875
Phone
(217) 223-8400
NPI assigned
Feb 5, 2021
Last updated
Nov 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BLESSING HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Brian Canfield
Title
President / Ceo
Phone
(217) 223-8400

Specialties & licenses 1

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

Addresses

Primary practice location

4800 Maine St
Quincy, IL 62305-5875

Mailing address

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

Other names 1

  • Blessing Health - 48th 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 IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210420001254 IL Part A Provider - Rural Health Clinic 3072422534 Practice locations: Quincy, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326630831. Details of each certification follow.

Rural health clinic certification: CCN 148629

Legal name
BLESSING HOSPITAL
Doing business as
BLESSING HEALTH - 48TH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 23, 2021
Last certification
Dec 23, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 29, 1973 in IL
Enrollment address
4800 Maine St, Ste 48-207, 48-208, 48-209
Quincy, IL 62305-5875
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
14D2156198Blessing Hospital Outpatient Dermatology4800 Maine St - Suite 200, Quincy, IL 62305ComplianceJun 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Blessing Hospital Bariatric35 organizations share this tax ID, including this one
Part of
Blessing Hospital Bariatric

Other organizations with this tax ID 34

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

View all 34

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Mohamed Ali Individual Corporate Director Oct 16, 2017
Amy Ruebush Individual Corporate DirectorBoard Member Mar 27, 2025
Joseph V Meyer Individual Corporate DirectorBoard Member Feb 1, 2026
Patrick Gerveler Individual Corporate OfficerCfo Apr 1, 2001
Corporate DirectorBoard Member Apr 1, 2001
Abby Reich Individual Corporate Director Jan 1, 2013
Prashanth Podaralla Individual Corporate DirectorBoard Member Feb 1, 2026
Blessing Corporate Services, Inc. Organization, Quincy, IL Corporation, Non-profit Operational/Managerial Control Jun 1, 2006
Mark Baumann Individual Corporate DirectorBoard Member Jan 25, 2024
Timothy Koontz Individual Corporate Director May 8, 2006
Timothy Tranor Individual Corporate OfficerCoo/Cno/Interim Ceo Apr 16, 2025
Corporate DirectorBoard Member/Interim Ceo Apr 16, 2025
Operational/Managerial ControlCoo/Cno/Interim Ceo Apr 16, 2025
William H Dixon Individual Corporate DirectorBoard Member Feb 1, 2025
James Rinella Individual Corporate DirectorBoard Member Jan 25, 2024
Julie Brink Individual Corporate Director Oct 16, 2017
Julie Duke Individual Corporate OfficerChief Revenue Cycle Officer Dec 1, 2022

Owners & managing parties with NPI records 7

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

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1326630831",
    "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": "4800 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055875",
            "telephone_number": "217-223-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSING HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLESSING HOSPITAL",
        "enumeration_date": "2021-02-05",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "CANFIELD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT / 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 - 48th",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.