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Bonne Terre Health Clinic LLC

Rural Health Clinic/Center in Bonne Terre, MO · enumerated 2008 · authorized official Andrew Ninichuck, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104071935

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Registry record

Entity type Organization (Type 2)
Legal business name Bonne Terre Health Clinic LLC
Practice address 55 Nesbit Dr, Bonne Terre, MO, 63628
Phone (573) 358-3343
Fax (573) 358-5458
Enumeration date Nov 20, 2008
Last updated in NPPES Sep 24, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 102387 (MO) Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License 102387 (MO) Primary

Authorized official

Name Andrew Ninichuck
Title Member
Phone (573) 358-3343

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-09-24. Verify at npiregistry.cms.hhs.gov.
Where is Bonne Terre Health Clinic LLC located?
The practice location on file with NPPES is in Bonne Terre, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-24.