Missouri Delta Medical Center | |
1008 N Main St Sikeston MO 63801-5044 | |
(573) 471-1600 | |
Not Available |
Full Name | Missouri Delta Medical Center |
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Speciality | Psychiatric Unit |
Location | 1008 N Main St, Sikeston, Missouri |
Authorized Official Name and Position | Jason M Schrumpf (CEO/PRESIDENT) |
Authorized Official Contact | 5734727601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Missouri Delta Medical Center 1008 N Main St Sikeston MO 63801-5044 Ph: (573) 471-1600 | Missouri Delta Medical Center 1008 N Main St Sikeston MO 63801-5044 Ph: (573) 471-1600 |
NPI Number | 1164592861 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 03/12/2015 |
Medicare PECOS PAC ID | 1355252891 |
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Medicare Enrollment ID | O20111117000342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164592861 | NPI | - | NPPES |
010418903 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 100-49 (Missouri) | Primary |
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