NPIMap

Organization Active NPI

Blessing Corporate Services Inc

Doing business as Hamilton Warsaw Clinic

  • Rural Health Clinic/Center
  • Warsaw, IL
National Provider Identifier
1720186265
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BLESSING CORPORATE SERVICES INC
Doing business as
Hamilton Warsaw Clinic
Practice address
1102 N County Road 700
Warsaw, IL 62379-3011
Phone
(217) 256-4100
Fax
(217) 256-3800
NPI assigned
Sep 20, 2006
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Tim Moore
Title
VP Finance / Cao
Phone
(217) 223-1200

Specialties & licenses 1

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

Addresses

Primary practice location

1102 N County Road 700
Warsaw, IL 62379-3011

Mailing address

1102 N County Road 700
Warsaw, IL 62379-3011
Phone (217) 256-4100

Other identifiers 1

IdentifierTypeStateIssuer
6237901MedicaidIL

Other names 1

  • Hamilton Warsaw Clinic 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
O20030910000038 IL Part A Provider - Rural Health Clinic 5991616138 Practice locations: Warsaw, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720186265. Details of each certification follow.

Rural health clinic certification: CCN 148957

Legal name
BLESSING CORPORATE SERVICES, INC.
Doing business as
HAMILTON WARSAW CLINIC
Certification status
Terminated Other: provider status change, Aug 18, 2024
Provider type (POS)
Rural health clinic
Participating since
Feb 23, 2004
Last certification
Sep 9, 2016
Ownership / control type
2B
Most recent change of ownership
Aug 18, 2024 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 30, 1982 in IL
Enrollment address
1102 N County Road 700
Warsaw, IL 62379-3011

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1005 Broadway St
Ste 1
Quincy, IL 62301

1400 Harrison St
Quincy, IL 62301
Phone (217) 214-9696

332 S 36th St
Quincy, IL 62301
Phone (217) 224-0426

420 N 34th St
Ste 1
Quincy, IL 62301

420 N 34th St
Ste 100
Quincy, IL 62301

4800 Maine St
Ste 1
Quincy, IL 62305

910 Broadway St
Quincy, IL 62301

927 Broadway St
Ste 106
Quincy, IL 62301

927 Broadway St
Ste 120
Quincy, IL 62301
Phone (217) 214-6200

927 Broadway St
Ste 201
Quincy, IL 62301
Phone (217) 214-6267

927 Broadway St
Ste 204
Quincy, IL 62301

927 Broadway St
Ste 220
Quincy, IL 62301

927 Broadway St
Ste 303
Quincy, IL 62301
Phone (217) 214-3460

927 Broadway St
Ste 322
Quincy, IL 62301
Phone (217) 214-3844

927 Broadway St
Ste 331
Quincy, IL 62301
Phone 2172244453 ext. 4553

102 E Marion St
Paris, MO 65275
Phone (660) 327-4911

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 Jan 27, 2020
William Duryea Individual Corporate DirectorBoard Member Jul 26, 2023
Christopher Niemann Individual Corporate Director Jan 1, 2015
Patrick Gerveler Individual Corporate OfficerCfo Apr 1, 2001
Corporate DirectorBoard Member Sep 10, 2003
Jack Sharkey Individual Corporate Director Feb 1, 1995
William Metzinger Individual Corporate DirectorBoard Member Jan 26, 2022
Blessing Corporate Services, Inc. Organization, Quincy, IL 5% Or Greater Direct Ownership Interest Jan 1, 2002
Operational/Managerial Control Jan 1, 2002
Brian Canfield Individual Corporate OfficerCeo / BCS President Jul 1, 2023
Corporate DirectorBoard Member / President / Ceo Jul 1, 2023
Operational/Managerial ControlPresident / Ceo Blessing Health Jul 1, 2023
OtherPresident / Ceo Blessing Health Jul 1, 2023
Timothy Koontz Individual Corporate Director Jan 1, 2011
Lynn House Individual Corporate Director Nov 29, 2017
Gary Gillespie Individual Corporate DirectorBoard Member Jan 26, 2022
Jerry D Kennett Individual Corporate Director Jan 29, 2014
Julie Brink Individual Corporate Director Jan 30, 2019
Julie Duke Individual Corporate OfficerChief Revenue Cycle Officer Dec 1, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Blessing HospitalQuincy, IL, CCN 140015 Hospital Operational/Managerial Control Jun 1, 2006
Blessing Inpatient RehabilitationQuincy, IL, CCN 14T015 Hospital Operational/Managerial Control Nov 7, 2007
Illini Community HospitalPittsfield, IL, CCN 141315 Hospital 5% Or Greater Direct Ownership Interest Oct 20, 2010
Illini Community HospitalPittsfield, IL, CCN 14Z315 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 20, 2010
Blessing Skilled Nursing FacilityQuincy, IL, CCN 145643 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 4, 1988
Jan 4, 1988
Jan 4, 1988
Blessing Home CareQuincy, IL, CCN 147031 Home health agency Operational/Managerial Control Nov 7, 2007
Blessing HospiceQuincy, IL, CCN 141501 Hospice Operational/Managerial Control Jan 1, 2007
Illini Community Hospital Rural Health ClinicPittsfield, IL, CCN 143482 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 22, 2005
East Adams County Rural Health ClinicGolden, IL, CCN 143422 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 10, 2011
Blessing Health - 48THQuincy, IL, CCN 148629 Rural health clinic Operational/Managerial Control Jun 1, 2006
Blessing HospitalMt Sterling, IL, CCN 148630 Rural health clinic Operational/Managerial Control Jun 1, 2006
Blessing HospitalQuincy, IL, CCN 148631 Rural health clinic Operational/Managerial Control Jun 1, 2006
Blessing Walk in ClinicQuincy, IL, CCN 148635 Rural health clinic Operational/Managerial Control Jun 1, 2006
Blessing Express ClinicQuincy, IL, CCN 148634 Rural health clinic Operational/Managerial Control Jun 1, 2006
Blessing Health HannibalHannibal, MO, CCN 268800 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 24, 2023
Blessing Health PalmyraPalmyra, MO, CCN 268801 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 24, 2023
Blessing Health Hamilton-WarsawWarsaw, IL, CCN 148666 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 18, 2024
Blessing Health KahokaKahoka, MO, CCN 268809 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 18, 2024
Blessing Employer ClinicQuincy, IL, CCN 148675 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2025
Blessing Health Monroe CityMonroe City, MO, CCN 268811 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control		 Nov 3, 2025
Nov 3, 2025

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1720186265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N COUNTY ROAD 700",
            "city": "WARSAW",
            "state": "IL",
            "postal_code": "623793011",
            "telephone_number": "217-256-4100",
            "fax_number": "217-256-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N COUNTY ROAD 700",
            "city": "WARSAW",
            "state": "IL",
            "postal_code": "623793011",
            "telephone_number": "217-256-4100",
            "fax_number": "217-256-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSING CORPORATE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "VP FINANCE / CAO",
        "authorized_official_telephone_number": "217-223-1200"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6237901",
            "state": "IL"
        }
    ],
    "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": "Hamilton Warsaw Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hamilton Warsaw Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warsaw, IL

Sources for this page

Verify at the official NPI Registry.