Healthcare Provider Details

I. General information

NPI: 1821462284
Provider Name (Legal Business Name): MISSOURI DELTA MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911B WEST BUSINESS HWY 60
DEXTER MO
63841
US

IV. Provider business mailing address

1008 N MAIN ST STE 1
SIKESTON MO
63801-5044
US

V. Phone/Fax

Practice location:
  • Phone: 573-614-5762
  • Fax: 573-614-5806
Mailing address:
  • Phone: 573-471-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JASON SCHRUMPF
Title or Position: CEO/PRESIDENT
Credential:
Phone: 573-472-7601