Organization
MISSOURI DELTA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SCHRUMPF (CEO/PRESIDENT)
(573) 472-7601
Entity
Organization
Contact information
Practice address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-1600
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506033505
—
MO
Enumeration date
09/26/2006
Last updated
03/12/2015
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