Blessing Hospital

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLESSING HOSPITAL

Practice address

1415 Vermont St
Quincy, IL 62301-3119

Phone

(217) 224-4453

Fax

(217) 224-9383

NPI assigned

Jan 10, 2011

Organization subpart

Yes

Parent organization

BLESSING HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Timothy A Moore

Title

Cao

Phone

(217) 223-1200

Specialties & licenses 3

Addresses

Other names 1

• Blessing Behavioral Center Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Blessing Hospital

  • General Practice Physician
  • Quincy, IL
  • NPI 1144553256

  O20040330001155

  Same enrollment
• Blessing Hospital

  • Rural Health Clinic/Center
  • Golden, IL
  • NPI 1245392349

  O20040330001155

  Same enrollment
• Blessing Hospital

  • Anesthesiology Physician
  • Quincy, IL
  • NPI 1255515342

  O20040330001155

  Same enrollment
• Blessing Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Quincy, IL
  • NPI 1558489021

  O20040330001155

  Same enrollment
• Blessing Hospital

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Quincy, IL
  • NPI 1629148127

  O20040330001155

  Same enrollment

Part of

Blessing Hosp Cardiolog

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Roy W Johnson, MD

  • Psychiatry Physician
  • Quincy, IL
  • NPI 1841385937
  NPD
• Salvador I Sanchez-Zuniga, MD

  • Psychiatry Physician
  • Quincy, IL
  • NPI 1982799086
  NPD
• Ronald G St. Hill, MD

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1316032147
  NPD

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1649574336",
    "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": "217-224-4453",
            "fax_number": "217-224-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 VERMONT ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013119",
            "telephone_number": "217-224-4453",
            "fax_number": "217-224-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSING HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLESSING HOSPITAL",
        "enumeration_date": "2011-01-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "217-223-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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",
            "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 Behavioral Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Blessing Behavioral Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blessing Hospital
• Blessing Hospital
• Blessing Hospital
• Blessing Hospital
• Blessing Hospital
• Blessing Hospital
• Blessing Hospital
• Blessing Hospital
• Blessing Hospital
• Blessing Hospital

• Psychiatry Physician in Quincy, IL
• Providers in Quincy, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.