NPIMap

Organization Active NPI

Missouri Delta Medical Center

Doing business as New Madrid Community Care Center

  • Rural Health Clinic/Center
  • New Madrid, MO
National Provider Identifier
1972944593
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
New Madrid Community Care Center
Practice address
615 Main St
New Madrid, MO 63869-1513
Phone
(573) 748-2546
Fax
(573) 748-7622
NPI assigned
Jul 11, 2013
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

615 Main St
New Madrid, MO 63869-1513

Mailing address

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

Other names 1

  • NEW MADRID 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
O20140424001233 MO Part A Provider - Rural Health Clinic 1355252891 Practice locations: New Madrid, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972944593. Details of each certification follow.

Rural health clinic certification: CCN 268699

Legal name
MISSOURI DELTA MEDICAL CENTER
Doing business as
NEW MADRID COMMUNITY CARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 26, 2014
Last certification
Mar 1, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1966 in MO
Enrollment address
615 Main St
New Madrid, MO 63869-1513
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
26D0442314New Madrid Community Center615 Main St, New Madrid, MO 63869Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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 5% Or Greater Direct Ownership Interest Jul 1, 2013 100%
W-2 Managing EmployeeCeo, President Oct 1, 2010 100%
Britton McConnell Individual Corporate DirectorBoard Member Jan 8, 2008
James D Henson Individual W-2 Managing EmployeeSenior Vice President Oct 1, 2010 100%
Missouri Delta Medical Center Organization, Sikeston, MO Corporation 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Robert M Macgillivray Individual Corporate OfficerTreasurer Board of Directors Jan 10, 2012 100%
Corporate DirectorBoard Member Jan 8, 2008 100%
David Jones Individual Corporate DirectorBoard Member Jan 14, 2020
Brian Menz Individual Corporate DirectorBoard Member Jan 11, 2000
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 100%
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 OfficerVice Chairman Board of Directors Jan 10, 2012 100%
Corporate DirectorBoard Member Jul 11, 2002 100%
Brett Matthews Individual Corporate DirectorBoard Member Jan 14, 2020
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 1, 2022
Corporate DirectorCfo Jan 1, 2022
W-2 Managing EmployeeCfo Jan 1, 2022
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 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
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.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1972944593",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAIN ST",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691513",
            "telephone_number": "573-748-2546",
            "fax_number": "573-748-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI DELTA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW MADRID COMMUNITY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Madrid, MO

Sources for this page

Verify at the official NPI Registry.