BLESSING WALK-IN CLINIC LLC (NPI# 1134627326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134627326 |
| Entity Type | Organization |
| Organization Name | BLESSING WALK-IN CLINIC LLC |
| Practice Address |
3700 Broadway St Quincy IL 62305-2822 |
| Mailing Address |
1005 Broadway St Quincy IL 62301-2834 |
| Practice Telephone | 2172281060 |
| Enumeration Date | 2018-01-23 |
| 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 WALK-IN CLINIC LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518483726 | Blessing Walk-in Clinic LLC | Family Medicine | 1805 Elm St, Canton, MO 63435-1685 | 2017-08-18 |
| 1073037644 | Blessing Walk-in Clinic LLC | Family Medicine | 1400 Harrison St, Quincy, IL 62301-6706 | 2017-07-26 |
| Street Address |
3700 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62305-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750310579 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 3700 Broadway St, Quincy, IL 62305-2822 | 2006-07-02 |
| 1427656321 | Morgan Wolf | Pharmacist | 3700 Broadway St, Quincy, IL 62305-2822 | 2020-10-13 |
| 1528666450 | Richard Crider | Pharmacist | 3700 Broadway St, Quincy, IL 62305-2822 | 2020-10-13 |
| 1538767868 | Kristie Yetmar | Pharmacist | 3700 Broadway St, Quincy, IL 62305-2822 | 2020-10-09 |
| 1497353734 | Glenda Knight | Pharmacist | 3700 Broadway St, Quincy, IL 62305-2822 | 2020-10-09 |
| 1356816565 | Bethany Porter | Dietitian, Registered | 3700 Broadway St, Quincy, IL 62305-2822 | 2018-10-04 |
| 1255766424 | Lauren Marie Bozarth | Pharmacist | 3700 Broadway St, Quincy, IL 62305-2822 | 2013-09-06 |
| 1326270133 | Brittany Marie Winship | Dietitian, Registered | 3700 Broadway St, Quincy, IL 62305-2822 | 2009-08-12 |
| 1255562930 | Jason Riley Tipton | Pharmacist | 3700 Broadway St, Quincy, IL 62305-2822 | 2009-07-29 |
| 1891969978 | Julie Lynn Huseman | Pharmacist | 3700 Broadway St, Quincy, IL 62305-2822 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
| 1447582549 | Cathi Marie Webb | Counselor | 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 | 2010-02-01 |
| 1285804450 | Curtis D Fauble | Dentist | 4561 Maine, Quincy, IL 62305 | 2008-03-04 |
| 1598940256 | Kelley Jo Begeman | Licensed Practical Nurse | 934 North 1903 Road Lane, Quincy, IL 62305 | 2007-12-31 |
| 1649459470 | Aa Dental Care PC | Dentist | 407 So 48th Street, Quincy, IL 62305 | 2007-10-29 |
| 1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
| 1689899056 | Capelle House | Day Training, Developmentally Disabled Services | 3325 Ghost Hollow Road, Quincy, IL 62305 | 2007-04-13 |
| 1750416236 | Julie A Danker | Social Worker | 2209 N 64th St, Quincy, IL 62305 | 2007-02-23 |
| 1942812300 | Brooke N Bracy | Dentist | 4561 Maine, Quincy, IL 62305 | 2020-08-18 |
| 1558997379 | Blessing Corporate Services, Inc | Clinic/Center | 4800 Maine St, Quincy, IL 62305 | 2020-03-13 |
| Find all providers in zip 62305 | ||||
| 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.