| Organization Name: | MISSOURI DELTA MEDICAL CENTER |
| NPI Number: | 1134430176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON SCHRUMPF (CEO/PRESIDENT) |
| Mailing Address: | 135 Plaza Dr Suite 102 Sikeston |
| State: | MO US |
| Postal Code: | 638015136 |
| Phone Number: | 5734726010 |
| Fax Number: | 5734726009 |
| NPI Enumeration Date: | 06/24/2010 |
| NPI Last Update Date: | 08/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |