340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH260113K MISSOURI DELTA MEDICAL CENTER (Active)
Print
Main Details
Name
MISSOURI DELTA MEDICAL CENTER
Subdivision Name
MISSOURI DELTA ORTHOPAEDICS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260113K
Medicare Provider Number
260113
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/9/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/6/2015
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Missouri Delta Medical Center
JASON SCHRUMPF, CEO
(573) 472-7600
Primary Contact
Missouri Delta Medical Center
Christopher White, Director of Pharmacy
(573) 472-7450
Addresses
Street Address
201 PLAZA DRIVE
A
SIKESTON, MO 63801-5105
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session