Missouri Delta Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

MISSOURI DELTA MEDICAL CENTER

Practice address

2856 Vista Ridge PL
Jackson, MO 63755-8105

Phone

(573) 587-1595

NPI assigned

Oct 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lauren Blackwelder

Title

Director of Emergency Services

Phone

(573) 471-1600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey Baumhoer

  • Family Nurse Practitioner
  • Cape Girardeau, MO
  • NPI 1376095380
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1093265159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 VISTA RIDGE PL",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637558105",
            "telephone_number": "573-587-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 VISTA RIDGE PL",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637558105",
            "telephone_number": "573-587-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI DELTA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "BLACKWELDER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR OF EMERGENCY SERVICES",
        "authorized_official_telephone_number": "573-471-1600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crista J Merriman, APRN
• Bryn Elizabeth Meyr
• Addison Mae Middleton, FNP
• Molly Miller
• Tori Onita Mincemeyer, RD
• Amy Lauren Mitchell, MA
• Monarch Medical Equipment, Inc
• Jason Wayne Moore, LAT/ATC
• Morning Star Behavioral Associates LLC
• Haley Morris, MOTR/L

• General Acute Care Hospital in Jackson, MO
• Providers in Jackson, MO by specialty
• General Acute Care Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.