MEDICARE: COMPLEX HEALTHCARE OF DES PERES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician

General Provider Information

NPI Number	:	1104432640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLEX HEALTHCARE OF DES PERES LLC

Provider Business Mailing Address
First Line	:	6040 CAMP BOWIE BLVD STE 24
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-5602
Country	:	US
Telephone Number	:	817-735-1180
Fax Number	:

Provider Business Practice Location Address
First Line	:	1032 OLD DES PERES RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-1865
Country	:	US
Telephone Number	:	817-735-1180
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GLENN HERMES
Credential	:
Telephone Number	:	817-692-6313

Provider Enumeration Date	:	09/21/2020
Last Update Date	:	09/21/2020

Similar Medicare Providers

1194720037 — DR. THOMAS G JOHANS M.D.
Practice Location Address:

1070 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 636-386-9224
Practice Fax: 636-386-7679

1336144187 — DR. TODD D BAILEY M.D.
Practice Location Address:

1070 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-821-8644
Practice Fax: 314-821-4858

1659377687 — DR. STEPHEN D SCHMIDT M.D.
Practice Location Address:

1070 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-821-8644
Practice Fax: 314-821-4858

1386640316 — DR. GREGORY H SMITH D.O.
Practice Location Address:

1070 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-821-8644
Practice Fax: 314-821-4858

1588661417 — DR. JAMES EDWARD BENECKE JR. M.D., F.A.C.S.
Practice Location Address:

1010 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-729-0077
Practice Fax: 314-552-7308

1811988611 — SOUND HEALTH SERVICES P.C.
Practice Location Address:

1010 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-722-0077
Practice Fax: 314-729-0101

1598756280 — JAMES M HARTMAN M.D.
Practice Location Address:

1010 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-822-5403
Practice Fax: 314-822-5403

Directions to “COMPLEX HEALTHCARE OF DES PERES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.