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BONNE TERRE HEALTH CLINIC LLC
NPI 1104071935
Clinic/Center - Rural Health in Bonne Terre, MO

Active since November 20, 2008
55 NESBIT DR, BONNE TERRE, MO 63628(573) 358-3343(573) 358-5458 Get Directions Write a Review

NPPES record last updated: September 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonne Terre Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNE TERRE HEALTH CLINIC LLC (NPI 1104071935) is a healthcare organization registered as a rural health in Bonne Terre, Missouri and active in the NPI registry since November 2008. The organization lists Andrew John Ninichuck, Member, as its authorized official.

NPPES Registry Identity

NPI1104071935
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBONNE TERRE HEALTH CLINIC LLC
Location Address55 NESBIT DRBonne Terre, MO 63628-1353
Mailing Address55 Nesbit DrBonne Terre, MO 63628-1353 · (573) 358-3343 · Fax (573) 358-5458
Phone(573) 358-3343
Fax(573) 358-5458
Organization SubpartNo
Authorized OfficialAndrew John NinichuckMember · (573) 358-3343
Enumeration DateNovember 20, 2008
Last NPPES UpdateSeptember 24, 2009
✔ NPI 1104071935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MO · 102387
Also ListedFamily MedicineTaxonomy 207Q00000X · License 102387 (MO)
55 NESBIT DR, Bonne Terre, MO 63628
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR MICHAEL LUMSDEN MPT
Physical Therapist
55 NESBIT DR
BONNE TERRE, MO 63628
St. Francois County (573) 358-9553
RACHEL ANN FRANCIS FNP-BC
Nurse Practitioner (Family)
55 NESBIT DR
BONNE TERRE, MO 63628
St. Francois County (573) 358-1700
MIDWEST HEALTH GROUP CONVENIENT CARE, LLC
Non-Pharmacy Dispensing Site
55 NESBIT DR
BONNE TERRE, MO 63628
St. Francois County (573) 358-1700
JESSICA L COX FNP-BC
Nurse Practitioner (Family)
55 NESBIT DR
BONNE TERRE, MO 63628
St. Francois County (573) 358-1700
FARMINGTON CLINIC COMPANY LLC
Family Medicine
55 NESBIT DR
BONNE TERRE, MO 63628
St. Francois County (573) 358-1480
LEISA JAN BLUE CFNP
Nurse Practitioner (Family)
55 NESBIT DR
BONNE TERRE, MO 63628
St. Francois County (573) 358-1480
MARY L. WILKERSON BRABHAM P.T.
Physical Therapist
55 NESBIT DR
BONNE TERRE, MO 63628
St. Francois County (573) 358-9553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonne Terre Health Clinic LLC's NPI number?

The NPI number for Bonne Terre Health Clinic LLC is 1104071935. It was assigned to this organization in the NPPES registry on November 20, 2008.

Where is Bonne Terre Health Clinic LLC located?

Bonne Terre Health Clinic LLC is located at 55 Nesbit Dr, Bonne Terre, MO 63628. The listed phone number is (573) 358-3343.

What is Bonne Terre Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Bonne Terre Health Clinic LLC was last updated on September 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.