Provider Demographics
NPI:1548368004
Name:BLESSING CORPORATE SERVICES INC
Entity type:Organization
Organization Name:BLESSING CORPORATE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE / CAO
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-223-8400
Mailing Address - Street 1:6996 COUNTY ROAD 326
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:MO
Mailing Address - Zip Code:63461-3119
Mailing Address - Country:US
Mailing Address - Phone:573-769-3710
Mailing Address - Fax:573-769-3753
Practice Address - Street 1:6996 COUNTY ROAD 326
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:MO
Practice Address - Zip Code:63461-3119
Practice Address - Country:US
Practice Address - Phone:573-769-3710
Practice Address - Fax:573-769-3753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO151774OtherBLUE SHIELD OF MO
MO505757104OtherMEDICAID PROVIDER NUMBER
MO598783801OtherMEDICAID PROVIDER NUMBER
ILDA9532OtherRAIL ROAD MEDICARE
MO268902Medicare ID - Type Unspecified
MO151774OtherBLUE SHIELD OF MO
MO505757104OtherMEDICAID PROVIDER NUMBER