Active NPI
Missouri Delta Medical Center
- Clinic/Center
- Poplar Bluff, MO
National Provider Identifier
1356248579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MISSOURI DELTA MEDICAL CENTER
- Practice address
- 2000 Shelby Rd Ste 2-5
Poplar Bluff, MO 63901-2393 - Phone
- (573) 471-1600
- Fax
- (573) 472-7475
- NPI assigned
- Oct 21, 2026
- Last updated
- Oct 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latina Hampton, MSN, RN
- Title
- Physician Services Director
- Phone
- (573) 472-7333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2000 Shelby Rd Ste 2-5
Poplar Bluff, MO 63901-2393
Mailing address
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 472-7333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792540800000",
"number": "1356248579",
"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": "573-472-7333",
"fax_number": "573-472-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SHELBY RD STE 2-5",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012393",
"telephone_number": "573-471-1600",
"fax_number": "573-472-7475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSOURI DELTA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-21",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A",
"authorized_official_last_name": "HAMPTON",
"authorized_official_first_name": "LATINA",
"authorized_official_title_or_position": "PHYSICIAN SERVICES DIRECTOR",
"authorized_official_telephone_number": "573-472-7333",
"authorized_official_credential": "MSN, RN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
- Tracy Mills, LCSW
- Milton R. Eichmann M.D., PSC (Bluff Urology Center)
- Subrat Mishra, OTR
- Stephanie Kay Misner, MSCCC-SLP
- Missouri CVS Pharmacy LLC (CVS Pharmacy# 10281)
- Missouri Dental Professionals, Richard Straus, DMD, PC (Family Dentistry of Poplar Bluff)
- Missouri Em-1 Medical Services, P.C.
- Missouri HB Medical Services, LLC
- Tara Dale Mitchell
- Himanshu Mittal, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.