BLESSING WALK-IN CLINIC LLC (NPI# 1073037644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073037644 |
| Entity Type | Organization |
| Organization Name | BLESSING WALK-IN CLINIC LLC |
| Other Organization Name | BLESSING WALK-IN CLINIC LLC |
| Practice Address |
1400 Harrison St Quincy IL 62301-6706 |
| Mailing Address |
1005 Broadway St Quincy IL 62301-2834 |
| Practice Telephone | 2172238400 |
| Mailing Telephone | 2172238400 |
| Mailing Fax Number | 2172236891 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | MAUREEN KAHN (PRESIDENT / CEO) |
| Authorized Official Telephone | 2172238400 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLESSING CORPORATE SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Blessing Convenient Care | Doing Business As Name - Organization |
| Blessing Walk-In Clinic LLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134627326 | Blessing Walk-in Clinic LLC | Family Medicine | 3700 Broadway St, Quincy, IL 62305-2822 | 2018-01-23 |
| 1518483726 | Blessing Walk-in Clinic LLC | Family Medicine | 1805 Elm St, Canton, MO 63435-1685 | 2017-08-18 |
| Street Address |
1400 HARRISON ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801921267 | John Ross Mittermann | Pharmacist | 1400 Harrison St, Quincy, IL 62301-6706 | 2007-02-23 |
| 1427656693 | Julie Marie Masters | Pharmacist | 1400 Harrison St, Quincy, IL 62301-6706 | 2020-10-11 |
| 1629676895 | Kimberly Dochterman | Pharmacist | 1400 Harrison St, Quincy, IL 62301-6706 | 2020-10-11 |
| 1710584040 | Melissa Ann Harbin | Pharmacist | 1400 Harrison St, Quincy, IL 62301-6706 | 2020-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1699189332 | Amy North | Family Medicine | 927 Broadway St Ste 120, Quincy, IL 62301-2728 | 2014-06-19 |
| 1093064370 | Kelly Lynne Piontek | Family Medicine | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2012-09-02 |
| 1558538496 | Jeffrey Lewis Wheeler | Family Medicine | Rr 1 Box 92, Quincy, MO 65735-9712 | 2008-05-09 |
| 1730389107 | Maria Vazquez-scott | Family Medicine | 512 N 11th St, Suite B, Quincy, IL 62301 | 2007-07-23 |
| 1255448650 | Wallace Allyn Newkirk | Family Medicine | 908 Tenth Ave Sw, Quincy, WA 98848 | 2006-08-23 |
| 1922114750 | Alan Richardson | Family Medicine | 331 S 36th Street Suite 6, Knapheide Family Wellness Cen, Quincy, IL 62301 | 2006-08-22 |
| 1831109347 | Matthew Philip Cormier | Family Medicine | 326 N 24th St, Quincy, IL 62301-3140 | 2006-08-08 |
| 1619985702 | Zakiah S. Ali | Family Medicine | 636 Hampshire St, Suite 201, Quincy, IL 62301-3054 | 2006-08-04 |
| 1740298942 | Steven R. Ginos | Family Medicine | 4800 Maine St, Quincy, IL 62305-5875 | 2006-08-03 |
| Find all providers in QUINCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.