NPIMap

Organization Active NPI

Missouri Delta Medical Center

  • Psychiatric Hospital Unit
  • Sikeston, MO
National Provider Identifier
1164592861
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
100-49 Issued in MO
Legal business name
MISSOURI DELTA MEDICAL CENTER
Practice address
1008 N Main St
Sikeston, MO 63801-5044
Phone
(573) 471-1600
NPI assigned
Nov 9, 2006
Organization subpart
Yes
Parent organization
MISSOURI DELTA MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Mr. Jason M Schrumpf
Title
Ceo/President
Phone
(573) 472-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 100-49 MO Primary

Addresses

Primary practice location

1008 N Main St
Sikeston, MO 63801-5044

Mailing address

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

Other identifiers 1

IdentifierTypeStateIssuer
010418903MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000342 MO Part A Provider - Hospital 1355252891 Practice locations: Sikeston, MO

Hospital certification: CCN 26S113

Legal name
MISSOURI DELTA MEDICAL CENTER
Doing business as
MISSOURI DELTA MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Mar 30, 1942 in MO
Enrollment address
1008 N Main St
Sikeston, MO 63801-5044
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Missouri Delta Medical Center24 organizations share this tax ID, including this one
Part of
Missouri Delta Medical Center

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason M Schrumpf Individual Corporate Director Oct 14, 2011
W-2 Managing Employee Oct 14, 2011
Missouri Delta Medical Center Organization, Sikeston, MO Non-profit 5% Or Greater Direct Ownership Interest Oct 14, 2011 100%

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Missouri Delta Medical CenterSikeston, MO, CCN 260113 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2002
Missouri Delta Medical CenterSikeston, MO, CCN 26T113 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 14, 2011
Missouri Delta Express CareSikeston, MO, CCN 268591 Rural health clinic 5% Or Greater Direct Ownership Interest Sep 16, 2011
Smith Street ClinicSikeston, MO, CCN 268635 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 30, 1966
Community Care CenterCharleston, MO, CCN 263492 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 23, 1996
Portageville Community Care CenterPortageville, MO, CCN 268698 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
New Madrid Community Care CenterNew Madrid, MO, CCN 268699 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Benton Community Care CenterBenton, MO, CCN 268740 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Dexter Community Care CenterDexter, MO, CCN 268739 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2015
Chaffee Medical ClinicChaffee, MO, CCN 268766 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
Malden Primary CareMalden, MO, CCN 268804 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Caruthersville Medical ClinicCaruthersville, MO, CCN 268810 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2025

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 134

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

View all 134

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1164592861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-471-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-471-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI DELTA MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSOURI DELTA MEDICAL CENTER",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "SCHRUMPF",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "573-472-7601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MO",
            "license": "100-49",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010418903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.