| Bonne Terre Primary Care | |
|
55 Nesbit Dr Bonne Terre MO 63628-1353 | |
| (573) 358-1480 | |
| (573) 358-1489 |
| Full Name | Bonne Terre Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 55 Nesbit Dr, Bonne Terre, Missouri |
| Authorized Official Name and Position | Daniel S. Slipkovich (CEO) |
| Authorized Official Contact | 6157643000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonne Terre Primary Care Two Corporate Centre Suite 200 Franklin TN 37067-2662 Ph: (615) 764-3000 | Bonne Terre Primary Care 55 Nesbit Dr Bonne Terre MO 63628-1353 Ph: (573) 358-1480 |
| NPI Number | 1841398773 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841398773 | NPI | - | NPPES |
| 15054 | Other | MO | MEDICARE GROUP NUMBER |
| 504907908 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Bonne Terre Health Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628 Phone: 573-358-3343 Fax: 573-358-5458 | |
Bonne Terre Medical Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 N Allen St, Bonne Terre, MO 63628 Phone: 573-358-3343 | |
Primary Care Of Bonne Terre Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 527 Benham St, Bonne Terre, MO 63628 Phone: 573-358-9119 Fax: 573-358-9489 |