Bonne Terre Health Clinic LLC
NPI 1104071935 · Rural Health Clinic/Center · Bonne Terre, MO
Bonne Terre Health Clinic LLC is a Rural Health Clinic/Center organization in Bonne Terre, MO (NPI 1104071935).
Provider details
- NPI number
- 1104071935
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Ninichuck, Member(573) 358-3343
- License
- 102387 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-20
- Last updated
- 2009-09-24
Frequently asked questions
- What is Bonne Terre Health Clinic LLC's NPI number?
- Bonne Terre Health Clinic LLC's National Provider Identifier (NPI) is 1104071935, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonne Terre Health Clinic LLC?
- Bonne Terre Health Clinic LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bonne Terre Health Clinic LLC located?
- Bonne Terre Health Clinic LLC's practice location on file with NPPES is 55 Nesbit Dr, Bonne Terre, MO 63628-1353.
- What is Bonne Terre Health Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Bonne Terre Health Clinic LLC is (573) 358-3343.
- Who is the authorized official for Bonne Terre Health Clinic LLC?
- The authorized official listed on Bonne Terre Health Clinic LLC's NPPES record is Andrew Ninichuck, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonne Terre Health Clinic LLC's NPI active?
- Yes — Bonne Terre Health Clinic LLC's NPI (1104071935) is active in the NPPES registry as of the last update on 2009-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.