# MISSOURI DELTA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1831274950
- **Authorized official:** JASON SCHRUMPF (CEO/PRESIDENT)
- **Authorized official phone:** (573) 472-7601

## Contact information

- **Practice address:** 1008 N MAIN ST, SIKESTON, MO 63801-5044
- **Practice address phone:** (573) 471-1600
- **Practice address fax:** (573) 472-7740
- **Mailing address:** 1008 N MAIN ST, SIKESTON, MO 63801-5044
- **Mailing address phone:** (573) 471-1600
- **Mailing address fax:** (573) 472-7740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 03/03/2015