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1083736664 NPI number — BLESSING HOSPITAL

NPI Number: 1083736664
Health Care Provider/Practitioner: BLESSING HOSPITAL

Information about “1083736664” NPI (BLESSING HOSPITAL) exists in 1083736664 in HTML format HTML  |  1083736664 in plain Text format TXT  |  1083736664 in PDF (Portable Document Format) PDF  |  1083736664 in an XML format XML  formats.

NPI Number : 1083736664 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083736664",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "BLESSING HOSPITAL",
    "ParentOrgTIN": null,
    "OrgName": "BLESSING HOSPITAL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1005 BROADWAY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "QUINCY",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62301-2834",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-223-8400",
    "MailingAddressFaxNumber": "217-223-9945",
    "FirstLinePracticeLocationAddress": "1005 BROADWAY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "QUINCY",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62301-2834",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-223-8400",
    "PracticeLocationAddressFaxNumber": "217-223-9945",
    "EnumerationDate": "04/04/2007",
    "LastUpdateDate": "03/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CANFIELD",
    "AuthorizedOfficialFirstName": "BRIAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO / PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "217-223-1200",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "314000000X",
          "TaxonomyName": "Skilled Nursing Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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