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General NPI Number Information
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NPI Number | 1225948474
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Entity Type | Organization
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Legal Business Name | MISSOURI DELTA MEDICAL CENTER
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 250 S HICKMAN ST
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City | PUXICO
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State | MO
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Zip | 63960-9122
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Country | US
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Telephone | 573-222-2292
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Fax | 573-222-2383
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Provider Business Mailing Address
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Address Line | 250 S HICKMAN ST
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City | PUXICO
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State | MO
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Zip | 63960-9122
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Country | US
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Telephone | 573-222-2292
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Fax | 573-222-2383
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Authorized Official
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Title or Position | DIRECTOR
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Name | LATINA HAMPTON
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Credential |
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Telephone | 573-472-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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