Provider Demographics
NPI:1245427608
Name:BLESSING CORPORATE SERVICES, INC
Entity Type:Organization
Organization Name:BLESSING CORPORATE SERVICES, INC
Other - Org Name:KAHOKA MEDICAL CLINIC
Other - Org Type:Doing Business As
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:217-223-1200
Mailing Address - Street 1:103 E. COMMERCIAL STREET
Mailing Address - Street 2:
Mailing Address - City:KAHOKA
Mailing Address - State:MO
Mailing Address - Zip Code:63445-1701
Mailing Address - Country:US
Mailing Address - Phone:660-727-3377
Mailing Address - Fax:660-727-3775
Practice Address - Street 1:103 E COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:KAHOKA
Practice Address - State:MO
Practice Address - Zip Code:63445-1701
Practice Address - Country:US
Practice Address - Phone:660-727-3377
Practice Address - Fax:660-727-3775
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLESSING CORPORATE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty