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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
(573) 472-7740
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-1600
(573) 472-7740

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
540418902
MO
Enumeration date
01/12/2007
Last updated
04/15/2026
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