Organization · Type 2 NPI
Bonne Terre Health Clinic LLC
Rural Health Clinic/Center · Bonne Terre, MO
NPI number
1104071935
Active
Practice location
55 Nesbit Dr
Bonne Terre, MO 63628-1353
Fax (573) 358-5458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 102387 (MO) |
| Rural Health Clinic/Center Primary | 261QR1300X | 102387 (MO) |
Rural Health Clinic/Center: Definition to come...
7 other providers at this address
- Farmington Clinic Company LLCFamily Medicine Physician Bonne Terre, MO NPI 1841398773
- Midwest Health Group Convenient Care, LLCNon-Pharmacy Dispensing Site Bonne Terre, MO NPI 1265987853
- Jessica L. Cox, FNP-BCFamily Nurse Practitioner Bonne Terre, MO NPI 1730962622
- Leisa Jan Blue, CFNPFamily Nurse Practitioner Bonne Terre, MO NPI 1851342950
- Mary L. Wilkerson Brabham, P.T.Physical Therapist Bonne Terre, MO NPI 1952420424
- Rachel Ann Francis, FNP-BCFamily Nurse Practitioner Bonne Terre, MO NPI 1073169363
- Taylor Michael Lumsden, MPTPhysical Therapist Bonne Terre, MO NPI 1013247147
About NPI 1104071935
Bonne Terre Health Clinic LLC's National Provider Identifier is 1104071935, issued on Nov 20, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Bonne Terre, MO. The record was last updated on Sep 24, 2009.