Organization
BLESSING CORPORATE SERVICES INC
Active
Other names
Blessing Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MOORE (VP FINANCE / CAO)
(217) 223-1200
Entity
Organization
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 224-6423
(217) 223-9142
Mailing address
PO BOX 7005, 1005 BROADWAY, QUINCY, IL 62305-7005
(217) 224-6423
(217) 223-9142
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132035
BLUE SHEIL OF ILLINOIS
—
01
—
DD0203
RAILROAD MEDICARE
—
Enumeration date
07/21/2006
Last updated
11/27/2023
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