MISSOURI DELTA MEDICAL CENTER NPI 1821462284

NPI Information

NPI: 1821462284
Provider Name: MISSOURI DELTA MEDICAL CENTER

Doing Business As: DEXTER COMMUNITY CARE CENTER

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

Specialization: Rural Health

CLIA Number: 26D2089242

Address:
1008 N MAIN ST
SIKESTON, MO
ZIP 63801
Phone: (573) 471-1600
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MISSOURI DELTA MEDICAL CENTER is a rural health clinic center in Sikeston, MO. MISSOURI DELTA MEDICAL CENTER NPI is 1821462284. The provider is registered as an organization entity type.
The provider Is Doing Business As Dexter Community Care Center.

The provider's business location address is:

1008 N MAIN ST
SIKESTON, MO
ZIP 63801-044
Phone: (573) 471-1600

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 26D2089242 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2015 and was last updated on 11/23/2015.

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	261QM1300X	Clinic/Center	Multi-Specialty			No
2	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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