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
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507252005
—
MO
Enumeration date
10/26/2006
Last updated
03/03/2015
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