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COMPLEX HEALTHCARE OF DES PERES LLC
NPI 1104432640
Emergency Medicine - Emergency Medical Services in Saint Louis, MO

Active since September 21, 2020
1032 OLD DES PERES RD, SAINT LOUIS, MO 63131(817) 735-1180 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Complex Healthcare Of Des Peres Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPLEX HEALTHCARE OF DES PERES LLC (NPI 1104432640) is a healthcare organization registered as an emergency medical services in Saint Louis, Missouri and active in the NPI registry since September 2020. The organization lists Glenn Hermes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104432640
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NameCOMPLEX HEALTHCARE OF DES PERES LLC
Location Address1032 OLD DES PERES RDSaint Louis, MO 63131-1865
Mailing Address6040 Camp Bowie Blvd Ste 24Fort Worth, TX 76116-5602 · (817) 735-1180
Phone(817) 735-1180
Organization SubpartNo
Authorized OfficialGlenn HermesCeo · (817) 692-6313
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 21, 2020
✔ NPI 1104432640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1032 OLD DES PERES RD, Saint Louis, MO 63131
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. EARL ELLIS MCCRARY III PTA
Physical Therapy Assistant
1032 OLD DES PERES RD
DES PERES, MO 63131
St. Louis County (314) 821-6181
PREMIER PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
1032 OLD DES PERES RD
DES PERES, MO 63131
St. Louis County (314) 821-6181
PREFERRED PT DES PERES LLC
Physical Therapist
1032 OLD DES PERES RD
DES PERES, MO 63131
St. Louis County (314) 821-6181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Complex Healthcare Of Des Peres LLC's NPI number?

The NPI number for Complex Healthcare Of Des Peres LLC is 1104432640. It was assigned to this organization in the NPPES registry on September 21, 2020.

Where is Complex Healthcare Of Des Peres LLC located?

Complex Healthcare Of Des Peres LLC is located at 1032 Old Des Peres Rd, Saint Louis, MO 63131. The listed phone number is (817) 735-1180.

What is Complex Healthcare Of Des Peres LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Complex Healthcare Of Des Peres LLC was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.