MISSOURI DELTA MEDICAL CENTER NPI 1972944593

NPI Information

NPI: 1972944593
Provider Name: MISSOURI DELTA MEDICAL CENTER

Doing Business As: NEW MADRID COMMUNITY CARE CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
615 MAIN ST
NEW MADRID, MO
ZIP 63869
Phone: (573) 748-2546
Get Directions

MISSOURI DELTA MEDICAL CENTER is a rural health clinic center in New Madrid, MO. MISSOURI DELTA MEDICAL CENTER NPI is 1972944593. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As New Madrid Community Care Center.

The provider's business location address is:

615 MAIN ST
NEW MADRID, MO
ZIP 63869-513
Phone: (573) 748-2546
Fax: (573) 748-7622

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

The CLIA number assigned to this NPI record is 26D1000864 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/11/2013 and was last updated on 3/11/2015.

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	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	261QR1300X	Clinic/Center	Rural Health	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	268699	MEDICARE OSCAR/CERTIFICATION	MISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »