Healthcare Provider Details

I. General information

NPI: 1932242518
Provider Name (Legal Business Name): BLESSING HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 01/11/2022
Certification Date: 01/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5011 OAK STREET
QUINCY IL
62301
US

IV. Provider business mailing address

1005 BROADWAY ST
QUINCY IL
62301-2834
US

V. Phone/Fax

Practice location:
  • Phone: 217-223-8400
  • Fax: 217-223-9945
Mailing address:
  • Phone: 217-223-8400
  • Fax: 217-223-9945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number0000141
License Number StateIL

VIII. Authorized Official

Name: MR. TIMOTHY A MOORE
Title or Position: VP, FINANCE, CAO
Credential:
Phone: 217-223-8400