MISSOURI DELTA MEDICAL CENTER (NPI# 1427572007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427572007 |
| Entity Type | Organization |
| Organization Name | MISSOURI DELTA MEDICAL CENTER |
| Other Organization Name | CHAFFEE MEDICAL CLINIC |
| Practice Address |
209 W Yoakum Ave Chaffee MO 63740-1138 |
| Mailing Address |
1008 N Main St Sikeston MO 63801-5044 |
| Practice Telephone | 5738874171 |
| Mailing Telephone | 5734727406 |
| Mailing Fax Number | 5734727475 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Authorized Official Name | JASON SCHRUMPF (CEO) |
| Authorized Official Telephone | 5734727601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chaffee Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1871663583 | Missouri Delta Medical Center | General Acute Care Hospital | 1008 North Main, Sikeston, MO 63801-5044 | 2006-11-09 |
| 1790855401 | Missouri Delta Medical Center | General Acute Care Hospital | 1403 E Marshall St, Charleston, MO 63834-1446 | 2006-11-09 |
| 1609230507 | Missouri Delta Medical Center | Clinic/Center | 6468 State Highway 77, Benton, MO 63736-8237 | 2016-04-07 |
| 1821462284 | Missouri Delta Medical Center | Clinic/Center | 1008 N Main St, Sikeston, MO 63801-5044 | 2015-11-23 |
| 1043628704 | Missouri Delta Medical Center | Pharmacy | 1008 N Main St, Sikeston, MO 63801-5044 | 2014-07-25 |
| 1972944593 | Missouri Delta Medical Center | Family Medicine | 615 Main St, New Madrid, MO 63869-1513 | 2013-07-11 |
| 1568703130 | Missouri Delta Medical Center | Family Medicine | 204 E 3rd St, Portageville, MO 63873-1402 | 2013-03-07 |
| 1215240965 | Missouri Delta Medical Center | Durable Medical Equipment & Medical Supplies | 1008 N Main St, Sikeston, MO 63801-5044 | 2010-07-23 |
| Street Address |
209 W YOAKUM AVE |
| City | CHAFFEE |
| State | MO |
| Zip Code | 63740-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033216924 | Bobby Tom Moudy | Dentist | 135 West Yoakum, Chaffee, MO 63740 | 2006-09-20 |
| 1740260652 | William F Blank Jr. | Pathology | 221 S Main, Chaffee, MO 63740 | 2006-01-18 |
| 1750697322 | Carter P Fenton Sr Clinics Inc | Family Medicine | 206 S Main St, Chaffee, MO 63740-1002 | 2010-08-20 |
| 1972726446 | Carter P Fenton Sr. | Family Medicine | 206 S Main St, Chaffee, MO 63740-1002 | 2007-04-11 |
| 1861893737 | Chance Eric White | Physical Therapist | 407 E Parker Ave, Chaffee, MO 63740-1030 | 2014-09-10 |
| 1790976686 | Heartland Laboratory Inc | Clinical Medical Laboratory | 221 S Main St, Chaffee, MO 63740-1040 | 2007-08-06 |
| 1457762783 | Terri Semmler | Physical Therapy Assistant | 243 W Yoakum Ave, Chaffee, MO 63740-1138 | 2014-05-08 |
| 1033166517 | Kiefer Thompson Pharma | Durable Medical Equipment & Medical Supplies | 211 W Yoakum Ave, Chaffee, MO 63740-1138 | 2006-05-28 |
| 1609248822 | Fit24, LLC | Physical Therapist | 243 W Yoakum Ave, Chaffee, MO 63740-1138 | 2015-10-27 |
| 1174903504 | Nancy Blattel | Physical Therapy Assistant | 243 W Yoakum Ave, Chaffee, MO 63740-1138 | 2015-06-01 |
| Find all providers in zip 63740 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811015902 | Thymios P Lambrou Lilbourn Medical Clinic | Clinic/Center | 537 W Yoakum Ave, Chaffee, MO 63740-1825 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 1831515907 | Marble Hill Medical Clinic, LLC | Clinic/Center | 307 Broadway St., Marble Hill, MO 63764-8321 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.