Organization
BLESSING DIALYSIS CENTER OF PITTSFIELD
Active
Parent organization
BLESSING HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLESSING HOSPITAL
Authorized official
VICKY FRERICKS (ENROLLMENTS)
(217) 223-8400
Entity
Organization
Contact information
Practice address
640 W WASHINGTON ST, PITTSFIELD, IL 62363-1350
(217) 223-8400
(217) 223-9945
Mailing address
640 W WASHINGTON ST, PITTSFIELD, IL 62363-1350
(217) 223-8400
(217) 223-9945
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE CROSS
0123
IL
Enumeration date
04/18/2007
Last updated
01/04/2021
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