Organization · Type 2 NPI
Missouri Delta Medical Center
Rural Health Clinic/Center · Charleston, MO
NPI number
1790855401
Active
Practice location
1403 E Marshall St
Charleston, MO 63834-1446
Fax (573) 683-2373
Mailing address
1008 N Main St
Sikeston, MO 63801-5044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | 100-49 (MO) |
Rural Health Clinic/Center: Definition to come...
5 other providers at this address
- Jeffrey Griesemer, MDFamily Medicine Physician Charleston, MO NPI 1851551907
- Macey Laplant, LCSWClinical Social Worker Charleston, MO NPI 1750037735
- Maradale Karafa, APRN, FNP-CFamily Nurse Practitioner Charleston, MO NPI 1972283331
- Natalia Rose Mainord-Cannon, FNP-CFamily Nurse Practitioner Charleston, MO NPI 1194407635
- Twan Robinson, LMSW, LCSWClinical Social Worker Charleston, MO NPI 1568979722
Other rural health clinic/center providers in Charleston
About NPI 1790855401
Missouri Delta Medical Center's National Provider Identifier is 1790855401, issued on Nov 9, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Charleston, MO. The record was last updated on Apr 15, 2026.