NPIMap

Organization Active NPI

Missouri Delta Medical Center

  • General Acute Care Hospital
  • Sikeston, MO
National Provider Identifier
1831269539
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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
Fax
(573) 472-7553
NPI assigned
Nov 9, 2006
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/President
Phone
(573) 472-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 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 MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030822000020 MO Part A Provider - Hospital 1355252891 Practice locations: Sikeston, MO; Dexter, MO
O20040308001306 MO Part B Supplier - Clinic/Group Practice 1355252891 Receives reassigned benefits from 207 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sikeston, MO; Dexter, MO; Cape Girardeau, MO; Benton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831269539. Details of each certification follow.

Hospital certification: CCN 260113

Legal name
MISSOURI DELTA MEDICAL CENTER
Doing business as
MISSOURI DELTA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 21, 2011
Beds
188
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 30, 1942 in MO
Enrollment address
1008 N Main St
Sikeston, MO 63801-5044
Other Hospital Practice Location
Hospital subgroups
Acute care

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

View all 13

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Missouri Delta Medical CenterCCN 260113 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
D Link Crna27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All disclosed owners & managing parties 24

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 OfficerCeo/President Sep 16, 2011
W-2 Managing EmployeeCeo/President Sep 16, 2011
OtherAdministrator Sep 16, 2011
Bartholomew Grant Individual Corporate DirectorBoard Member Jan 12, 2016
James D Henson Individual Corporate OfficerCoo Jan 1, 2021
Corporate DirectorCoo Jan 1, 2021
W-2 Managing EmployeeCoo Jan 1, 2021
Missouri Delta Medical Center Organization, Sikeston, MO Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2002 100%
Robert M Macgillivray Individual Corporate DirectorBoard Member Jan 8, 2008
David Jones Individual Corporate DirectorBoard Member Jan 14, 2020
Brian Menz Individual Corporate DirectorBoard Member Jan 14, 2014
Michael Jones Individual Corporate DirectorBoard Member Jan 12, 2010
Daniel Lape Individual Corporate DirectorBoard Member Jan 12, 2016
Julie Aycock Individual Corporate DirectorBoard Member Jan 12, 2021
Dwight Bizzell Individual Corporate DirectorBoard Member Jan 10, 2017
Edward E Dement Individual Corporate DirectorBoard Member Jan 12, 2010
Michael Marshall Individual Corporate DirectorBoard Member Jan 8, 2019
John Bollinger Individual Corporate DirectorBoard Member Jan 11, 2011
Tammy Burch Individual Corporate DirectorBoard Member Jan 8, 2019
Charles D Jennings Individual Corporate DirectorBoard Member Jul 11, 2002
Brett Matthews Individual Corporate DirectorBoard Member Jan 8, 2008
Elizabeth M Johnson Individual Corporate DirectorBoard Member Jan 8, 2008
Jeff Partridge Individual Corporate DirectorBoard Member Jan 14, 2014
Gregory Carda Individual Corporate OfficerCfo Jan 27, 2015
W-2 Managing EmployeeCfo Jan 27, 2015
Leven Cox Individual Corporate DirectorBoard Member Jan 10, 2017
Matthew Tanner Individual Corporate DirectorBoard Member Jan 12, 2016
Matthew Drake Individual Corporate DirectorBoard Member Jan 14, 2020
Joel Evans Individual Corporate DirectorBoard Member Jan 12, 2016

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 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
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 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

Affiliated clinicians 345

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 345

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": "1831269539",
    "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",
            "fax_number": "573-472-7553"
        },
        {
            "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",
            "fax_number": "573-472-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI DELTA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "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_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "573-472-7601"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "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.