NPIMap

Organization Active NPI

Missouri Delta Medical Center

Doing business as Benton Community Care Center

  • Rural Health Clinic/Center
  • Benton, MO
National Provider Identifier
1609230507
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MISSOURI DELTA MEDICAL CENTER
Doing business as
Benton Community Care Center
Practice address
6468 State Highway 77
Benton, MO 63736-8237
Phone
(573) 545-3700
NPI assigned
Apr 7, 2016
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

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
Jason Schrumpf
Title
Ceo
Phone
(573) 472-7601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

6468 State Highway 77
Benton, MO 63736-8237

Mailing address

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 545-3700

Other names 1

  • Benton Community Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160708001380 MO Part A Provider - Rural Health Clinic 1355252891 Practice locations: Benton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609230507. Details of each certification follow.

Rural health clinic certification: CCN 268740

Legal name
MISSOURI DELTA MEDICAL CENTER
Doing business as
BENTON COMMUNITY CARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 4, 2016
Last certification
Oct 25, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1966 in MO
Enrollment address
6468 State Highway 77
Benton, MO 63736-8237
Related CCNs
260113

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2113477Benton Community Care Center6468 State Hwy 77, Benton, MO 63736Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
D Link Crna26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

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 Officer Jan 1, 2020
Corporate Director Jan 1, 2020
W-2 Managing EmployeeCeo, President Dec 1, 2015 100%
Missouri Delta Medical Center Organization, Sikeston, MO Non-profit 5% Or Greater Direct Ownership Interest May 1, 2016 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 Medical CenterSikeston, MO, CCN 26S113 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
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.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1609230507",
    "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": "573-545-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6468 STATE HIGHWAY 77",
            "city": "BENTON",
            "state": "MO",
            "postal_code": "637368237",
            "telephone_number": "573-545-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI DELTA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "SCHRUMPF",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-472-7601"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benton Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, MO

Sources for this page

Verify at the official NPI Registry.