NPIMap

Organization Active NPI

Blessing Hospital

Doing business as Blessing Health Palmyra

  • Rural Health Clinic/Center
  • Palmyra, MO
National Provider Identifier
1407542103
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 Palmyra
Practice address
6996 County Road 326
Palmyra, MO 63461-3119
Phone
(573) 769-3710
Fax
(573) 769-3753
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

6996 County Road 326
Palmyra, MO 63461-3119

Mailing address

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

Other names 1

  • Blessing Health Palmyra 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
O20230708000102 MO Part A Provider - Rural Health Clinic 3072422534 Practice locations: Palmyra, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407542103. Details of each certification follow.

Rural health clinic certification: CCN 268801

Legal name
BLESSING HOSPITAL
Doing business as
BLESSING HEALTH PALMYRA
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 24, 2023
Last certification
Jul 24, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 29, 1973 in IL
Enrollment address
6996 County Road 326
Palmyra, MO 63461-3119
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

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 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 DirectorBoard Member 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 DirectorBoard Member Jan 1, 2013
Prashanth Podaralla Individual Corporate DirectorBoard Member Feb 1, 2026
Blessing Corporate Services, Inc. Organization, Quincy, IL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 24, 2023 100%
Mark Baumann Individual Corporate DirectorBoard Member Jan 25, 2024
Timothy Koontz Individual Corporate DirectorBoard Member May 8, 2006
Timothy Tranor Individual Corporate OfficerCoo / Interim Ceo Apr 16, 2025
Corporate DirectorBoard Member / Interim Ceo Apr 16, 2025
Operational/Managerial ControlCoo / 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 DirectorBoard Member 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

Change-of-ownership history 1

DateEventCounterparty
Jul 24, 2023 Change of OwnershipThis provider was the buyer Palmyra ClinicCCN 268902, MO, NPI 1548368004

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": "1407542103",
    "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": "6996 COUNTY ROAD 326",
            "city": "PALMYRA",
            "state": "MO",
            "postal_code": "634613119",
            "telephone_number": "573-769-3710",
            "fax_number": "573-769-3753"
        }
    ],
    "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 Palmyra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmyra, MO

Sources for this page

Verify at the official NPI Registry.