MISSOURI DELTA MEDICAL CENTER NPI 1215240965

NPI Information

NPI: 1215240965
Provider Name: MISSOURI DELTA MEDICAL CENTER
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1008 N MAIN ST
SIKESTON, MO
ZIP 63801
Phone: (573) 472-6016
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MISSOURI DELTA MEDICAL CENTER is a durable medical equipment medical supplies in Sikeston, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MISSOURI DELTA MEDICAL CENTER NPI is 1215240965. The provider is registered as an organization entity type.

The provider's business location address is:

1008 N MAIN ST
SIKESTON, MO
ZIP 63801-044
Phone: (573) 472-6016
Fax: (573) 472-7374

The provider's authorized official is Jason M Schrumpf .
The authorized official title is Ceo/president and has the following contact phone number (573) 472-7601.

The enumeration date for this NPI number is 7/23/2010 and was last updated on 3/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1215240965	MEDICAID	MISSOURI
2	1134850001	MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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