| Missouri Delta Medical Center | |
|
412 W Broadwater Rd Malden MO 63863-1358 | |
| (573) 990-1002 | |
| (573) 990-1284 |
| Full Name | Missouri Delta Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 412 W Broadwater Rd, Malden, Missouri |
| Authorized Official Name and Position | Jason M Schrumpf (CEO) |
| Authorized Official Contact | 5734727600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Delta Medical Center 412 W Broadwater Rd Malden MO 63863-1358 Ph: (573) 990-1002 | Missouri Delta Medical Center 412 W Broadwater Rd Malden MO 63863-1358 Ph: (573) 990-1002 |
| NPI Number | 1760241939 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 1355252891 |
|---|---|
| Medicare Enrollment ID | O20241118000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760241939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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