Missouri Delta Medical Center

LBN: Missouri Delta Medical Center
Missouri Delta Medical Center is an health care organization with primary practice located at 1008 N Main St , Sikeston MO 63801-5044. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Missouri Delta Medical Center can be contacted via phone (573) 472-6016, or through Schrumpf, Jason M via phone (573) 472-7601.

Contact Information

Primary practice address
1008 N Main St Sikeston MO 63801-5044
Phone: (573) 472-6016
Fax: (573) 472-7374
Website:
Map and Directions
Authorized official contact:
Name: Schrumpf, Jason M
Phone: (573) 472-7601

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1215240965
LBN Legal business name Missouri Delta Medical Center
DBA Doing business as
Authorized official Schrumpf, Jason M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 23rd, 2010
Last updated Mar 12th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215240965 NPPES
Missouri MEDICAID 1215240965

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