# MISSOURI DELTA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639088776
- **Authorized official:** LATINA HAMPTON MSN, RN (PHYSICIAN SERVICES DIRECTOR)
- **Authorized official phone:** (573) 472-7333

## Contact information

- **Practice address:** 250 S HICKMAN ST, PUXICO, MO 63960-9122
- **Practice address phone:** (573) 222-2292
- **Practice address fax:** (573) 222-2383
- **Mailing address:** 1008 N MAIN ST, SIKESTON, MO 63801-5044
- **Mailing address phone:** (573) 472-7333
- **Mailing address fax:** (573) 472-7475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2026
- **Last updated:** 09/03/2026