# MISSOURI DELTA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MISSOURI DELTA MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518806348
- **Legal business name:** MISSOURI DELTA MEDICAL CENTER
- **Authorized official:** SANDA ZUCK (CREDENTIALING CONTACT)
- **Authorized official phone:** (573) 472-7423

## Contact information

- **Practice address:** 203 PLAZA DR, SIKESTON, MO 63801-5105
- **Practice address phone:** (573) 472-7376
- **Practice address fax:** (573) 472-7374
- **Mailing address:** 203 PLAZA DR, SIKESTON, MO 63801-5105
- **Mailing address phone:** (573) 472-7376
- **Mailing address fax:** (573) 472-7374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2026
- **Last updated:** 03/26/2026