MISSOURI DELTA MEDICAL CENTER
NPI 1790855401
Clinic/Center - Rural Health in Charleston, MO

Active since November 09, 2006CLIA 26D0927071 · Waiver
1403 E MARSHALL ST, CHARLESTON, MO 63834(573) 683-2327(573) 683-2373 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Missouri Delta Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOURI DELTA MEDICAL CENTER (NPI 1790855401), doing business as Community Care Center, is a healthcare organization registered as a rural health in Charleston, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Jason Schrumpf, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1790855401
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMISSOURI DELTA MEDICAL CENTER
Location Address1403 E MARSHALL STCharleston, MO 63834-1446
Mailing Address1008 N Main StSikeston, MO 63801-5044 · (573) 471-1600
Fax(573) 683-2373
Organization SubpartYes
Authorized OfficialJason SchrumpfCeo/president · (573) 472-7601
Enumeration DateNovember 9, 2006
Last NPPES UpdateApril 15, 2026
NPPES CertifiedApril 15, 2026
NPI 1790855401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in MO · 100-49
1403 E MARSHALL ST, Charleston, MO 63834

Other Names 1

Doing Business AsCommunity Care Center

Other Identifiers 1

Medicaid010418903MO

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0927071

Missouri Delta Community Care Center · Charleston, MO
Active · expires Jun 2, 2028
CLIA Number26D0927071
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorDr. Jeffrey Griesemer
Laboratory Phone(573) 683-2327
Laboratory LocationMissouri Delta Community Care Center1403 East Marshall, Charleston, MO 63834
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1403 E MARSHALL ST
CHARLESTON, MO 63834
Social Worker (Clinical)
1403 E MARSHALL ST
CHARLESTON, MO 63834
Social Worker (Clinical)
1403 E MARSHALL ST
CHARLESTON, MO 63834
Family Medicine
1403 E MARSHALL ST
CHARLESTON, MO 63834
Nurse Practitioner (Family)
1403 E MARSHALL ST
CHARLESTON, MO 63834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Missouri Delta Medical Center's NPI number?

The NPI number for Missouri Delta Medical Center is 1790855401. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Community Care Center.

Where is Missouri Delta Medical Center located?

Missouri Delta Medical Center is located at 1403 E Marshall St, Charleston, MO 63834. The listed phone number is (573) 683-2327.

What is Missouri Delta Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Missouri Delta Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0927071) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Missouri Delta Medical Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Missouri Delta Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Missouri Delta Medical Center was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.