Organization Name: | MISSOURI DELTA MEDICAL CENTER |
NPI Number: | 1164592861 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON M SCHRUMPF (CEO/PRESIDENT) |
Mailing Address: | 1008 N Main St Sikeston |
State: | MO US |
Postal Code: | 638015044 |
Phone Number: | 5734711600 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 03/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 273R00000X |
License Number: | 100-49 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Psychiatric Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians |