Organization
BONNE TERRE HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW JOHN NINICHUCK M.D. (MEMBER)
(573) 358-3343
Entity
Organization
Contact information
Practice address
55 NESBIT DR, BONNE TERRE, MO 63628-1353
(573) 358-3343
(573) 358-5458
Mailing address
55 NESBIT DR, BONNE TERRE, MO 63628-1353
(573) 358-3343
(573) 358-5458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
102387
MO
261QR1300X
Rural Health Clinic/Center
Primary
102387
MO
Other
Enumeration date
11/20/2008
Last updated
09/24/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us