MEDICARE: BLESSING CORPORATE SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1255809513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLESSING CORPORATE SERVICES, INC

Provider Business Mailing Address
First Line	:	1005 BROADWAY ST
Second Line	:
City	:	QUINCY
State	:	IL
Zip	:	62301-2834
Country	:	US
Telephone Number	:	217-223-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 E MARION ST
Second Line	:
City	:	PARIS
State	:	MO
Zip	:	65275-1041
Country	:	US
Telephone Number	:	660-327-4911
Fax Number	:

Authorized Official
Title or Position	:	VP FINANCE / CAO
Name	:	TIMOTHY A MOORE
Credential	:
Telephone Number	:	217-223-8400

Provider Enumeration Date	:	11/05/2018
Last Update Date	:	11/27/2023

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Directions to “BLESSING CORPORATE SERVICES, INC ” Practice Location

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