Healthcare Provider Details

I. General information

NPI: 1245427608
Provider Name (Legal Business Name): BLESSING CORPORATE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 11/27/2023
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E COMMERCIAL ST
KAHOKA MO
63445-1701
US

IV. Provider business mailing address

103 E. COMMERCIAL STREET
KAHOKA MO
63445-1701
US

V. Phone/Fax

Practice location:
  • Phone: 660-727-3377
  • Fax: 660-727-3775
Mailing address:
  • Phone: 660-727-3377
  • Fax: 660-727-3775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIM MOORE
Title or Position: VP FINANCE / CAO
Credential:
Phone: 217-223-1200