Missouri Delta Medical Center
Organization Active NPI Rural Health Clinic/Center · Sikeston, MO
NPI 1174789549 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1174789549
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- MISSOURI DELTA MEDICAL CENTER
- Practice address
- 123 Smith Ave
Sikeston, MO 63801-5239 - Phone
- (573) 471-0200
- NPI assigned
- Aug 5, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- MISSOURI DELTA MEDICAL CENTER
Authorized official
- Name
- Jason Schrumpf
- Title
- Ceo/President
- Phone
- (573) 472-7601
Owners & managing parties with NPI records 17
Owned or controlled facilities with NPI records 12
Other NPIs with the same Medicare PAC ID 17
Corporate family (same tax ID) 23
Related certifications (CCN) 1
Facilities with the same owner 12
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 268635
- Legal name
- MISSOURI DELTA MEDICAL CENTER
- Doing business as
- SMITH STREET CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Aug 1, 2008
- Last certification
- Oct 22, 2024
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 30, 1942 in MO
- Enrollment address
- 123 Smith Ave
Sikeston, MO 63801-5239 - Related CCNs
- 260113
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Jason M Schrumpf |
Corporate Director |
Oct 1, 2010 | 100% |
| James D Henson |
W-2 Managing Employee | May 14, 2002 | |
| Missouri Delta Medical Center |
5% Or Greater Direct Ownership Interest | Mar 30, 1966 | 100% |
| Gregory Carda |
Corporate Officer |
Jan 27, 2015 | |
| W-2 Managing Employee |
Jan 27, 2015 |
All facility ownership & control disclosures 12
| 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 |
| 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 |
|---|---|---|---|---|
| O20081110000109 | 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
123 Smith Ave
Sikeston, MO 63801-5239
Mailing address
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
Other providers in Sikeston, MO
- 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
- 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.