COMPLEX HEALTHCARE OF FARMINGTON LLC – NPI #1104476928
Emergency Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Health Care Provider Taxonomy Code for Emergency Medicine

COMPLEX HEALTHCARE OF FARMINGTON LLC is a provider located in FARMINGTON, MO. NPPES has assigned the NPI number 1104476928 to COMPLEX HEALTHCARE OF FARMINGTON LLC on September 13, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207PE0005X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Undersea and Hyperbaric Medicine

The NPI profile was previously updated about 4 years ago on Aug 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMPLEX HEALTHCARE OF FARMINGTON LLC below.

NPI Profile for
COMPLEX HEALTHCARE OF FARMINGTON LLC

NPI Number
1104476928
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMPLEX HEALTHCARE OF FARMINGTON LLC
Primary location
555 W PINE ST
FARMINGTON, MO 63640-1439
Phone: (573) 223-8600 Fax:
Mailing address
4201 INTERWAY PL
ARLINGTON, TX 76018-5668
Phone: (817) 687-8014 Fax:
Organization Subpart
No
Authorized Official
GLENN HERMES
CEO
Phone: (817) 692-6313
Updated
Certification Date
Aug 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0005X
- Emergency Medicine / Undersea and Hyperbaric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.