MISSOURI DELTA MEDICAL CENTER (NPI# 1134430176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134430176 |
| Entity Type | Organization |
| Organization Name | MISSOURI DELTA MEDICAL CENTER |
| Other Organization Name | MISSOURI DELTA PRIMARY CARE |
| Practice Address |
135 Plaza Dr Suite 102 Sikeston MO 63801-5136 |
| Practice Telephone | 5734726010 |
| Practice Fax Number | 5734726009 |
| Mailing Telephone | 5734726010 |
| Mailing Fax Number | 5734726009 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | JASON SCHRUMPF (CEO/PRESIDENT) |
| Authorized Official Telephone | 5734727601 |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSOURI DELTA MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Missouri Delta Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1871663583 | Missouri Delta Medical Center | General Acute Care Hospital | 1008 North Main, Sikeston, MO 63801-5044 | 2006-11-09 |
| 1790855401 | Missouri Delta Medical Center | General Acute Care Hospital | 1403 E Marshall St, Charleston, MO 63834-1446 | 2006-11-09 |
| 1609230507 | Missouri Delta Medical Center | Clinic/Center | 6468 State Highway 77, Benton, MO 63736-8237 | 2016-04-07 |
| 1821462284 | Missouri Delta Medical Center | Clinic/Center | 1008 N Main St, Sikeston, MO 63801-5044 | 2015-11-23 |
| 1043628704 | Missouri Delta Medical Center | Pharmacy | 1008 N Main St, Sikeston, MO 63801-5044 | 2014-07-25 |
| 1972944593 | Missouri Delta Medical Center | Family Medicine | 615 Main St, New Madrid, MO 63869-1513 | 2013-07-11 |
| 1568703130 | Missouri Delta Medical Center | Family Medicine | 204 E 3rd St, Portageville, MO 63873-1402 | 2013-03-07 |
| Street Address |
135 PLAZA DR SUITE 102 |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639139876 | Mark Shea Henderson | Surgery | 135 Plaza Dr, Suite 202, Sikeston, MO 63801-5136 | 2006-03-23 |
| 1104106509 | Charlotte C Dewitt | Nurse Practitioner | 135 Plaza Dr, Suite 102, Sikeston, MO 63801-5136 | 2011-08-17 |
| 1255638839 | Total Renal Care Inc | Clinic/Center | 135 Plaza Dr, Ste 101, Sikeston, MO 63801 | 2011-02-17 |
| 1437461290 | Nivedita Nagam | Internal Medicine | 135 Plaza Dr, Suite 102, Sikeston, MO 63801-5136 | 2010-07-09 |
| 1174622021 | Fred H Thornton | Surgery | 135 Plaza Dr, Sikeston, MO 63801-5136 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1871598391 | Sikeston Urgent Care PC | Clinic/Center | 918 S Kingshighway St, Sikeston, MO 63801-4416 | 2005-06-21 |
| 1679041040 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 522 Virginia St, Sikeston, MO 63801-5812 | 2018-11-05 |
| 1871887646 | Sikeston Rural Health Center LLC | Clinic/Center | 1226 Linn St, Suite B, Sikeston, MO 63801-5200 | 2011-06-08 |
| 1497064547 | Bootheel Counseling Services | Clinic/Center | 760 Plantation Blvd, Sikeston, MO 63801-5736 | 2010-10-06 |
| 1386879351 | Family First Medical Center, Inc | Clinic/Center | 1226 Linn St, Suite F, Sikeston, MO 63801-5200 | 2009-05-20 |
| 1174789549 | Missouri Delta Medical Center | Clinic/Center | 123 Smith Ave, Sikeston, MO 63801-5239 | 2008-08-05 |
| 1619145612 | Family Medicine of Southeast Missouri, LLC | Clinic/Center | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2008-02-13 |
| 1760500862 | Managed Care Inc | Clinic/Center | 808 Hunter, Suite 4, Sikeston, MO 63801-2248 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.