Organization
MISSOURI DELTA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN BLACKWELDER (DIRECTOR OF EMERGENCY SERVICES)
(573) 471-1600
Entity
Organization
Contact information
Practice address
2856 VISTA RIDGE PL, JACKSON, MO 63755-8105
(573) 587-1595
Mailing address
2856 VISTA RIDGE PL, JACKSON, MO 63755-8105
(573) 587-1595
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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