# MISSOURI DELTA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MISSOURI DELTA MEDICAL CENTER
- **Other names:** Portageville Community Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568703130
- **Legal business name:** MISSOURI DELTA MEDICAL CENTER
- **Authorized official:** JASON SCHRUMPF (CEO/PRESIDENT)
- **Authorized official phone:** (573) 472-7601

## Contact information

- **Practice address:** 204 E 3RD ST, PORTAGEVILLE, MO 63873-1402
- **Practice address phone:** (573) 379-5467
- **Practice address fax:** (573) 379-5671
- **Mailing address:** 1008 N MAIN ST, SIKESTON, MO 63801-5044
- **Mailing address phone:** (573) 471-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2013
- **Last updated:** 04/15/2026