Missouri Delta Medical Center in Sikeston - Physician Assistant
Missouri Delta Medical Center - NPI 1710037361
Missouri Delta Medical Center is a Physician Assistant in Sikeston, Missouri. Missouri Delta Medical Center practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Missouri Delta Medical Center is 1710037361. The last update date is 2015-03-03.
Missouri Delta Medical Center's current location address is 1008 N Main St, Sikeston, Missouri. You can contact this provider via phone number 5734711600 and fax number 5734727740. The mailing address for Missouri Delta Medical Center is 1008 N Main St, Sikeston, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Missouri Delta Medical Center |
|---|---|
| Address | 1008 N Main St, Sikeston, Missouri |
| Phone Number | 5734711600 |
| Fax Number | 5734727740 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/PRESID |
|---|---|
| Authorized Official Name | Schrumpf Jason |
| Telephone Number | 5734727601 |
NPI Number Detail
| NPI Number | 1710037361 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2015-03-03 |
Provider Mailing Address Detail
| Address | 1008 N Main St |
|---|---|
| City | Sikeston |
| State | Missouri (MO) |
| Post Code | 638015044 |
| Phone Number | 5734711600 |
| Fax Number | 5734727740 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 540418902 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Missouri Delta Medical Center by the Centers for Medicare & Medicaid Services?
The Missouri Delta Medical Center has been issued the NPI (National Provider Identifier) 1710037361 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Missouri Delta Medical Center is located?
The Missouri Delta Medical Center is situated at the following address: 1008 N Main St, Sikeston, MO, 638015044.
What is Missouri Delta Medical Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Missouri Delta Medical Center's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Missouri Delta Medical Center receive its 1710037361 assignment from the Centers for Medicare & Medicaid Services?
The Missouri Delta Medical Center was assigned its 1710037361 by the Centers for Medicare & Medicaid Services on 2007-01-12.
As of what date was the information pertaining to Missouri Delta Medical Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Missouri Delta Medical Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-03.