Bonne Terre Healthcare Clinic Llc | |
11 S Division St Ste A Bonne Terre MO 63628-1701 | |
(573) 723-1100 | |
(573) 723-1130 |
Full Name | Bonne Terre Healthcare Clinic Llc |
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Speciality | Nurse Practitioner |
Location | 11 S Division St Ste A, Bonne Terre, Missouri |
Authorized Official Name and Position | Mary Elizabeth Chandler (OWNER/PROVIDER) |
Authorized Official Contact | 5737231100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bonne Terre Healthcare Clinic Llc 11 S Division St Ste A Bonne Terre MO 63628-1701 Ph: (573) 723-1100 | Bonne Terre Healthcare Clinic Llc 11 S Division St Ste A Bonne Terre MO 63628-1701 Ph: (573) 723-1100 |
NPI Number | 1962043802 |
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Provider Enumeration Date | 10/02/2019 |
Last Update Date | 02/25/2024 |
Certification Date | 02/25/2024 |
Medicare PECOS PAC ID | 6103253919 |
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Medicare Enrollment ID | O20200217001228 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962043802 | NPI | - | NPPES |
Provider Name | Glenda C Counts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215258744 PECOS PAC ID: 7113113267 Enrollment ID: I20101201000377 |
Provider Name | Kimberly A Yeager |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669812681 PECOS PAC ID: 9638399850 Enrollment ID: I20141009001482 |
Provider Name | Mary Chandler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780082206 PECOS PAC ID: 2860716719 Enrollment ID: I20150123001285 |
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