MISSOURI DELTA MEDICAL CENTER (NPI# 1548330244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548330244 |
| Entity Type | Organization |
| Organization Name | MISSOURI DELTA MEDICAL CENTER |
| Practice Address |
1008 N Main St Sikeston MO 63801-5044 |
| Practice Telephone | 5734711600 |
| Practice Fax Number | 5734727553 |
| Mailing Telephone | 5734711600 |
| Mailing Fax Number | 5734727553 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | JASON SCHRUMPF (CEO/PRESIDENT) |
| Authorized Official Telephone | 5734727601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 010418903 | 05 |
| 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 |
1008 N MAIN ST |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987725 | Heather Vanpool | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2020-09-23 |
| 1457998809 | Stacy Latham | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-12-04 |
| 1336612779 | Rowdy James Phillips | Registered Nurse | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-01-08 |
| 1538637939 | Christopher White | Pharmacist | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-11-05 |
| 1891270666 | Alexandria M Barker | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-09-27 |
| 1265936637 | Jennifer Heuring | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-03-21 |
| 1922501923 | Kristin Presley | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-03-15 |
| 1467952606 | James Jeremiah Mooty | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-02-14 |
| 1427575299 | Sikeston Emergency Group LLC | Physician Assistant | 1008 N Main St, Sikeston, MO 63801-5044 | 2017-08-23 |
| 1053835918 | Margaret Rachel Coppage | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2017-08-01 |
| Find all providers in the same location | ||||
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558774158 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 801 Plantation Blvd., Sikeston, MO 63801-5744 | 2014-06-11 |
| 1255638839 | Total Renal Care Inc | Clinic/Center | 135 Plaza Dr, Ste 101, Sikeston, MO 63801 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1902415284 | Fresenius Medical Care Creve Coeur Home Therapies, LLC | Clinic/Center | 450 N New Ballas Rd Ste 170, Creve Coeur, MO 63141-6835 | 2020-07-23 |
| 1730716085 | Fresenius Medical Care Creve Coeur, LLC | Clinic/Center | 450 North New Bassas Road, Suite 180, Creve Coeur, MO 63141-6835 | 2020-03-26 |
| 1285109041 | Branson Kidney Center LLC | Clinic/Center | 17829 Bus 13, Branson West, MO 65737 | 2018-10-09 |
| 1790271864 | Dialysis Clinic Inc | Clinic/Center | 3101 W Broadway Ste 115, Columbia, MO 65203-0496 | 2018-07-02 |
| 1033602990 | Lantell Dialysis LLC | Clinic/Center | 8608 E 63rd St, Kansas City, MO 64133-4725 | 2018-06-14 |
| 1851892731 | Sparda Dialysis LLC | Clinic/Center | 40 Walters Pl, House Springs, MO 63051-1491 | 2018-02-26 |
| 1063923753 | Isd Renal Inc | Clinic/Center | 1702 E 10th St Ste C, Rolla, MO 65401-4600 | 2017-10-20 |
| 1063923977 | Total Renal Care Inc | Clinic/Center | 802 Jules St, St Joseph, MO 64501-1944 | 2017-10-18 |
| 1942710991 | Washington University | Clinic/Center | 272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2017-10-04 |
| 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.