Missouri Delta Primary Care | |
102 Hospitality Dr Sikeston MO 63801-9382 | |
(573) 471-0200 | |
(573) 471-7559 |
Full Name | Missouri Delta Primary Care |
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Speciality | Clinic/Center |
Location | 102 Hospitality Dr, Sikeston, Missouri |
Authorized Official Name and Position | Jason 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 Primary Care 1008 N Main St Sikeston MO 63801-5044 Ph: (573) 472-7333 | Missouri Delta Primary Care 102 Hospitality Dr Sikeston MO 63801-9382 Ph: (573) 471-0200 |
NPI Number | 1134430176 |
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Provider Enumeration Date | 06/24/2010 |
Last Update Date | 02/15/2022 |
Medicare PECOS PAC ID | 1355252891 |
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Medicare Enrollment ID | O20100713000324 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134430176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Women's Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013 North Main, Sikeston, MO 63801 Phone: 573-472-7535 Fax: 573-472-7787 | |
Managed Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Hunter, Suite 4, Sikeston, MO 63801 Phone: 573-471-2905 | |
Sikeston Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Southland Dr, Sikeston, MO 63801 Phone: 573-472-1770 Fax: 573-472-4050 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-471-1600 Fax: 573-472-7740 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Smith Ave, Sikeston, MO 63801 Phone: 573-471-0200 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-471-1600 Fax: 573-472-7740 |