Missouri Delta Medical Center
Organization Active NPI Rural Health Clinic/Center · Sikeston, MO
NPI 1134430176 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1134430176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- MISSOURI DELTA MEDICAL CENTER
- Practice address
- 102 Hospitality Dr
Sikeston, MO 63801-9382 - Phone
- (573) 471-0200
- Fax
- (573) 471-7559
- NPI assigned
- Jun 24, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- MISSOURI DELTA MEDICAL CENTER
Authorized official
- Name
- Jason Schrumpf
- Title
- Ceo/President
- Phone
- (573) 472-7601
Owned or controlled facilities with NPI records 13
Other NPIs with the same Medicare PAC ID 17
Corporate family (same tax ID) 23
Related certifications (CCN) 1
Practitioners 134
-
Zaid Alirhayim, M.D.
-
Muhammad Zaeghum Aman, MD, MBBS
-
Kayla Babb, FNP
-
Bradley K Baker, M.D.
-
Michael Dean Barnes, NP FNP BC MSN
-
Daniel Beck, PA-C
-
Bruce K Bieneman, MD
-
Morgan Lindsey Brasher, FNP-C
-
Kristerpher Dean Brimberry, PMHNP
-
Samantha Marie Broughton, FNP-C
-
Kristain Dru Carroll, CRNA
-
Sherry L Chessor, CRNA
-
Marc F Clemente, MD
-
Lisa E Colwick, FNP
-
Emily Copeland, MSW, LCSW
-
Brandon W Covert, DO
-
Sarah H Curry, MD
-
Michael Adrian Dawes, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Rural health clinic certification: CCN 268660
- Legal name
- MISSOURI DELTA MEDICAL CENTER
- Doing business as
- MISSOURI DELTA PRIMARY CARE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Feb 18, 2011
- Last certification
- Oct 22, 2024
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 13, 1942 in MO
- Enrollment address
- 102 Hospitality Dr
Sikeston, MO 63801-9382 - Related CCNs
- 260113
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Jason M Schrumpf |
Corporate Officer |
Jan 1, 2015 | |
| W-2 Managing Employee |
Jan 1, 2015 | ||
| Bartholomew Grant |
Corporate Director |
Jan 12, 2016 | |
| Britton McConnell |
Corporate Director |
Jan 8, 2008 | |
| James D Henson |
Corporate Officer |
Jan 1, 2022 | |
| Corporate Director |
Jan 1, 2022 | ||
| W-2 Managing Employee |
Jan 1, 2022 | ||
| Robert M Macgillivray |
Corporate Director |
Jan 8, 2019 | |
| David Jones |
Corporate Director |
Jan 14, 2020 | |
| Brian Menz |
Corporate Director |
Jan 11, 2000 | |
| Michael Jones |
Corporate Director |
Jan 12, 2010 | |
| Daniel Lape |
Corporate Director |
Jan 12, 2016 | |
| Julie Aycock |
Corporate Director |
Jan 12, 2021 | |
| Dwight Bizzell |
Corporate Director |
Jan 10, 2017 | |
| Edward E Dement |
Corporate Director |
Jan 12, 2010 | |
| Michael Marshall |
Corporate Director |
Jan 8, 2019 | |
| John Bollinger |
Corporate Director |
Jan 11, 2011 | |
| Tammy Burch |
Corporate Director |
Jan 8, 2019 | |
| Charles D Jennings |
Corporate Director |
Jan 8, 2008 | |
| Brett Matthews |
Corporate Director |
Jan 14, 2020 | |
| Jeff Partridge |
Corporate Director |
Jan 14, 2014 | |
| Gregory Carda |
Corporate Officer |
Jan 27, 2015 | |
| W-2 Managing Employee | Jan 27, 2015 | ||
| Leven Cox |
Corporate Director |
Jan 10, 2017 | |
| Matthew Tanner |
Corporate Director |
Jan 12, 2016 | |
| Matthew Drake |
Corporate Director |
Jan 12, 2016 |
All facility ownership & control disclosures 13
| Facility | Type | Role | Since |
|---|---|---|---|
| Missouri Delta Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2002 |
| Missouri Delta Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 14, 2011 |
| Missouri Delta Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 14, 2011 |
| Missouri Delta Express Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Sep 16, 2011 |
| Smith Street Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Mar 30, 1966 |
| Community Care Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jul 23, 1996 |
| Portageville Community Care Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| New Madrid Community Care Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Benton Community Care Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2016 |
| Dexter Community Care Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2015 |
| Chaffee Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2017 |
| Malden Primary Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Caruthersville Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100713000324 | MO | Part a Provider - Rural Health Clinic | 1355252891 | Practice locations: Sikeston, MO |
National Provider Directory
- Tax ID family
- Missouri Delta Medical Center
- Part of
- Missouri Delta Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
102 Hospitality Dr
Sikeston, MO 63801-9382
Mailing address
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 472-7333
Other names
- Missouri Delta Primary Care
Other providers in Sikeston, MO
- Missouri CVS Pharmacy LLC
- Missouri Delta Foot and Ankle Centers, Inc
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
All providers in Sikeston, MO · Rural Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.