Missouri Delta Medical Center
Organization Active NPI Rural Health Clinic/Center · Chaffee, MO
NPI 1427572007 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1427572007
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- MISSOURI DELTA MEDICAL CENTER
- Practice address
- 209 W Yoakum Ave
Chaffee, MO 63740-1138 - Phone
- (573) 887-4171
- NPI assigned
- Jul 26, 2017
- Organization subpart
- No
Authorized official
- Name
- Jason Schrumpf
- Title
- Ceo
- 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
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2136182 | Chaffee Medical Clinic | Certificate of waiver | Sep 4, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Rural health clinic certification: CCN 268766
- Legal name
- MISSOURI DELTA MEDICAL CENTER
- Doing business as
- CHAFFEE MEDICAL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jun 14, 2018
- Last certification
- Sep 10, 2024
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 1, 1966 in MO
- Enrollment address
- 209 W Yoakum Ave
Chaffee, MO 63740-1138 - Related CCNs
- 260113
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Jason M Schrumpf |
5% Or Greater Direct Ownership Interest |
Sep 1, 2017 | 100% |
| W-2 Managing Employee |
Sep 1, 2017 | 100% | |
| Missouri Delta Medical Center |
5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 100% |
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 |
| 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 |
| 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 |
|---|---|---|---|---|
| O20171113002842 | MO | Part a Provider - Rural Health Clinic | 1355252891 | Practice locations: Chaffee, MO |
National Provider Directory
- Tax ID family
- Missouri Delta Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
209 W Yoakum Ave
Chaffee, MO 63740-1138
Mailing address
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 472-7423
Other names
- Chaffee Medical Clinic
Other providers in Chaffee, MO
- Jason Crader
- Fit24, LLC
- Heartland Laboratory Inc
- Kiefer Thompson Pharma
- Dolly Kluesner
- Bobby Tom Moudy
- Kristy Roth
- Myra Schwartz
- Terri Semmler
- Courtney McGill Teegarden
All providers in Chaffee, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.