BLESSING CORPORATE SERVICES INC NPI 1548368004

NPI Information

NPI: 1548368004
Provider Name: BLESSING CORPORATE SERVICES INC

Doing Business As: PALMYRA CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
6996 COUNTY ROAD 326
PALMYRA, MO
ZIP 63461
Phone: (573) 769-3710
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BLESSING CORPORATE SERVICES INC is a rural health clinic center in Palmyra, MO. BLESSING CORPORATE SERVICES INC NPI is 1548368004. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Palmyra Clinic.

The provider's business location address is:

6996 COUNTY ROAD 326
PALMYRA, MO
ZIP 63461-119
Phone: (573) 769-3710
Fax: (573) 769-3753

The provider's authorized official is Tim Moore .
The authorized official title is Vp Finance / Cao and has the following contact phone number (217) 223-8400.

The CLIA number assigned to this NPI record is 26D0987173 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	363LF0000X	Nurse Practitioner	Family	No
3	261QR1300X	Clinic/Center	Rural Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	151774	OTHER	MISSOURI	BLUE SHIELD OF MO
2	505757104	OTHER	MISSOURI	MEDICAID PROVIDER NUMBER
3	598783801	OTHER	MISSOURI	MEDICAID PROVIDER NUMBER
4	DA9532	OTHER	ILLINOIS	RAIL ROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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