MISSOURI DELTA MEDICAL CENTER NPI 1134430176

NPI Information

NPI: 1134430176
Provider Name: MISSOURI DELTA MEDICAL CENTER

Doing Business As: MISSOURI DELTA PRIMARY CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
102 HOSPITALITY DR
SIKESTON, MO
ZIP 63801
Phone: (573) 471-0200
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MISSOURI DELTA MEDICAL CENTER is a rural health clinic center in Sikeston, MO. MISSOURI DELTA MEDICAL CENTER NPI is 1134430176. The provider is registered as an organization entity type.
The provider Is Doing Business As Missouri Delta Primary Care.

The provider's business location address is:

102 HOSPITALITY DR
SIKESTON, MO
ZIP 63801-382
Phone: (573) 471-0200
Fax: (573) 471-7559

The provider's authorized official is Jason Schrumpf .
The authorized official title is Ceo/president and has the following contact phone number (573) 472-7601.

The CLIA number assigned to this NPI record is 26D0974369 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2010 and was last updated on 2/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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