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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
1363L00000XNurse Practitioner
2207P00000XEmergency Medicine Physician
3207Q00000XFamily Medicine Physician
4363A00000XPhysician Assistant
5207RC0000XCardiovascular Disease Physician
6207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710037361
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 : 573-472-7740
Provider Business Practice Location 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 : 573-472-7740
Authorized Official
Title or Position : CEO/PRESIDENT
Name : JASON SCHRUMPF
Credential :
Telephone Number : 573-472-7601
Provider Enumeration Date : 01/12/2007
Last Update Date : 04/15/2026

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Directions to “MISSOURI DELTA MEDICAL CENTER ” Practice Location

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