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BONNE TERRE HEALTHCARE CLINIC LLC
NPI 1962043802
Nurse Practitioner - Family in Bonne Terre, MO

Active since October 02, 2019
11 S DIVISION ST STE A, BONNE TERRE, MO 63628(573) 723-1100(573) 723-1130 Get Directions Write a Review

NPPES record last updated: February 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Dec 5, 2023, Dec 8, 2022 and 1 more (4 updates tracked since 2019).

About Bonne Terre Healthcare Clinic Llc NPPES

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

BONNE TERRE HEALTHCARE CLINIC LLC (NPI 1962043802) is a healthcare organization registered as a family in Bonne Terre, Missouri and active in the NPI registry since October 2019. The organization lists Mary Elizabeth Chandler, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1962043802
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBONNE TERRE HEALTHCARE CLINIC LLC
Location Address11 S DIVISION ST STE ABonne Terre, MO 63628-1701
Mailing Address11 S Division St Ste ABonne Terre, MO 63628-1701 · (573) 723-1100 · Fax (573) 723-1130
Phone(573) 723-1100
Fax(573) 723-1130
Organization SubpartNo
Authorized OfficialMary Elizabeth ChandlerOwner/provider · (573) 723-1100
Enumeration DateOctober 2, 2019
Last NPPES UpdateFebruary 25, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2024
✔ NPI 1962043802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
11 S DIVISION ST STE A, Bonne Terre, MO 63628
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

GLENDA CHARLENE COUNTS FNP
Nurse Practitioner (Family)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
St. Francois County (573) 723-1100
MRS. THERESA L LUMOS LPC
Counselor (Professional)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
St. Francois County (573) 723-1100
MARY CHANDLER AANP
Nurse Practitioner (Family)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
St. Francois County (573) 723-1100
MARISSA L PHEGLEY LPC
Counselor (Professional)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
St. Francois County (573) 723-1100
BALI RAE HOOVER-RICHARDSON LPC
Counselor (Mental Health)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
St. Francois County (573) 723-1100

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 Healthcare Clinic LLC's NPI number?

The NPI number for Bonne Terre Healthcare Clinic LLC is 1962043802. It was assigned to this organization in the NPPES registry on October 2, 2019.

Where is Bonne Terre Healthcare Clinic LLC located?

Bonne Terre Healthcare Clinic LLC is located at 11 S Division St Ste A, Bonne Terre, MO 63628. The listed phone number is (573) 723-1100.

What is Bonne Terre Healthcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Bonne Terre Healthcare Clinic LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Bonne Terre Healthcare Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bonne Terre Healthcare Clinic LLC was last updated on February 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.