| Missouri Delta Medical Center | |
|
6468 State Highway 77 Benton MO 63736-8237 | |
| (573) 545-3700 | |
| Not Available |
| Full Name | Missouri Delta Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6468 State Highway 77, Benton, Missouri |
| Authorized Official Name and Position | Jason Schrumpf (CEO) |
| Authorized Official Contact | 5734727601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Delta Medical Center 1008 N Main St Sikeston MO 63801-5044 Ph: (573) 545-3700 | Missouri Delta Medical Center 6468 State Highway 77 Benton MO 63736-8237 Ph: (573) 545-3700 |
| NPI Number | 1609230507 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/07/2016 |
| Medicare PECOS PAC ID | 1355252891 |
|---|---|
| Medicare Enrollment ID | O20160708001380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609230507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Comprehensive Family Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 S Winchester St, Benton, MO 63736 Phone: 573-335-1344 | |
Southeast Missouri Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6724 State Highway 77, Benton, MO 63736 Phone: 573-748-7712 Fax: 573-545-4425 | |
Southeast Missouri Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6738 State Highway 77, Benton, MO 63736 Phone: 573-313-2500 Fax: 573-313-2505 |