| Missouri Delta Medical Center | |
| 
					209 W Yoakum Ave Chaffee MO 63740-1138  | |
| (573) 887-4171 | |
| Not Available | 
| Full Name | Missouri Delta Medical Center | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 209 W Yoakum Ave, Chaffee, 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) 472-7406  | Missouri Delta Medical Center 209 W Yoakum Ave Chaffee MO 63740-1138 Ph: (573) 887-4171  | 
| NPI Number | 1427572007 | 
|---|---|
| Provider Enumeration Date | 07/26/2017 | 
| Last Update Date | 07/26/2017 | 
| Medicare PECOS PAC ID | 1355252891 | 
|---|---|
| Medicare Enrollment ID | O20171113002842 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427572007 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Carter P Fenton Sr Clinics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 S Main St, Chaffee, MO 63740 Phone: 573-887-3688 Fax: 573-887-9022  | |
Thymios P Lambrou Lilbourn Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 537 W Yoakum Ave, Chaffee, MO 63740 Phone: 573-887-3010 Fax: 573-887-3004  |