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NPI Code Detail

MEDICARE: MISSOURI DELTA MEDICAL CENTER

MEDICARE: MISSOURI DELTA MEDICAL CENTER
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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1174789549
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSOURI DELTA MEDICAL CENTER
Provider Business Mailing Address
First Line : 1008 N MAIN ST
Second Line :
City : SIKESTON
State : MO
Zip : 63801-5044
Country : US
Telephone Number : 573-471-1600
Fax Number :
Provider Business Practice Location Address
First Line : 123 SMITH AVE
Second Line :
City : SIKESTON
State : MO
Zip : 63801-5239
Country : US
Telephone Number : 573-471-0200
Fax Number :
Authorized Official
Title or Position : CEO/PRESIDENT
Name : JASON SCHRUMPF
Credential :
Telephone Number : 573-472-7601
Provider Enumeration Date : 08/05/2008
Last Update Date : 04/15/2026

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Directions to “MISSOURI DELTA MEDICAL CENTER ” Practice Location

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