Missouri Delta Medical Center
Organization Active NPI Rural Health Clinic/Center · Sikeston, MO
NPI 1871663583 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1871663583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 100-49 (MO)
- Legal business name
- MISSOURI DELTA MEDICAL CENTER
- Practice address
- 1008 North Main
Sikeston, MO 63801-5044 - Phone
- (573) 472-6001
- Fax
- (573) 472-6018
- NPI assigned
- Nov 9, 2006
- 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 135
-
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 |
|---|---|---|---|
| 26D1026457 | Missouri Delta Express Care | Certificate of waiver | Jun 6, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Rural health clinic certification: CCN 268591
- Legal name
- MISSOURI DELTA MEDICAL CENTER
- Doing business as
- MISSOURI DELTA EXPRESS CARE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Nov 16, 2004
- Last certification
- Jan 25, 2023
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 30, 1942 in MO
- Enrollment address
- 1008 N Main St
Sikeston, MO 63801-5044 - Related CCNs
- 260113
All disclosed owners & managing parties 25
| Name | Role | Since | Share |
|---|---|---|---|
| Jason M Schrumpf |
Corporate Director | Sep 16, 2011 | |
| Bartholomew Grant |
Corporate Director |
Jan 12, 2016 | |
| Britton McConnell |
Corporate Director |
Jan 8, 2008 | |
| James D Henson |
Corporate Officer |
Jan 1, 2022 | |
| Corporate Director |
Jan 1, 2022 | ||
| W-2 Managing Employee |
Jan 1, 2022 | ||
| Missouri Delta Medical Center |
5% Or Greater Direct Ownership Interest | Sep 16, 2011 | |
| Robert M Macgillivray |
Corporate Director |
Jan 8, 2008 | |
| David Jones |
Corporate Director |
Jan 14, 2020 | |
| Brian Menz |
Corporate Director |
Jan 11, 2000 | |
| Michael Jones |
Corporate Director |
Jan 12, 2010 | |
| Daniel Lape |
Corporate Director |
Jan 12, 2016 | |
| Julie Aycock |
Corporate Director |
Jan 12, 2021 | |
| Dwight Bizzell |
Corporate Director |
Jan 10, 2017 | |
| Edward E Dement |
Corporate Director |
Jan 12, 2010 | |
| Michael Marshall |
Corporate Director |
Jan 8, 2019 | |
| John Bollinger |
Corporate Director |
Jan 11, 2011 | |
| Tammy Burch |
Corporate Director |
Jan 8, 2019 | |
| Charles D Jennings |
Corporate Director |
Jul 11, 2002 | |
| Brett Matthews |
Corporate Director |
Jan 14, 2020 | |
| Elizabeth M Johnson |
Corporate Director |
Jan 8, 2008 | |
| Jeff Partridge |
Corporate Director |
Jan 14, 2014 | |
| Gregory Carda |
Corporate Director |
Jan 1, 2014 | |
| W-2 Managing Employee |
Jan 1, 2014 | ||
| Leven Cox |
Corporate Director |
Jan 10, 2017 | |
| Matthew Tanner |
Corporate Director |
Jan 12, 2016 | |
| Matthew Drake |
Corporate Director |
Jan 14, 2020 | |
| Joel Evans |
Corporate Director |
Jan 12, 2016 |
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 |
| 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 |
| 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 |
|---|---|---|---|---|
| O20040408000048 | 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 | 100-49 | MO | Yes |
Addresses
Primary practice location
1008 North Main
Sikeston, MO 63801-5044
Mailing address
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010418903 | Medicaid | MO |
Other names
- MISSOURI DELTA EXPRESS CARE
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 Radiology Group, Inc.
- Angeles Fernandez Mojica
- Paul F. Montany
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.
- 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.