MIDWEST WOUND & WELLNESS LLC
NPI 1215467733
Clinic/Center in Farmington, MO

Q: What is Midwest Wound & Wellness LLC's NPI number?

The NPI number for Midwest Wound & Wellness LLC is 1215467733. It was assigned to this organization in the NPPES registry on June 18, 2017.

Q: What is Midwest Wound & Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 18, 2017

555 W PINE ST, FARMINGTON, MO 63640(573) 747-1510(573) 747-1512 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 18, 2017 (2 updates tracked since 2017).

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About Midwest Wound & Wellness Llc NPPES

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

MIDWEST WOUND & WELLNESS LLC (NPI 1215467733) is a healthcare organization registered as a clinic/center in Farmington, Missouri and active in the NPI registry since June 2017. The organization lists Kelly M Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1215467733

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMIDWEST WOUND & WELLNESS LLC

Location Address555 W PINE STFarmington, MO 63640-1439

Mailing Address555 W Pine StFarmington, MO 63640-1439 · (573) 747-1510 · Fax (573) 747-1512

Phone(573) 747-1510

Fax(573) 747-1512

Organization SubpartNo

Authorized OfficialKelly M RobertsOwner · (573) 747-1510

Enumeration DateJune 18, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1215467733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedLicensed Practical NurseTaxonomy 164W00000X

555 W PINE ST, Farmington, MO 63640

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Other Identifiers 1

Medicaid1568912129MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MRS. MISTY DAWN CAIN FNP

Nurse Practitioner