DELTA FAMILY HEALTH AND FITNESS CENTER FOR CHILDREN, INC. (NPI# 1275739062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275739062 |
| Entity Type | Organization |
| Organization Name | DELTA FAMILY HEALTH AND FITNESS CENTER FOR CHILDREN, INC. |
| Other Organization Name | DELTA FAMILY CENTER |
| Practice Address |
815 E Saint Louis St Hamburg AR 71646-2766 |
| Mailing Address |
100 W Polk St Hamburg AR 71646-3179 |
| Practice Telephone | 8708534224 |
| Practice Fax Number | 8708539909 |
| Mailing Telephone | 8708534224 |
| Mailing Fax Number | 8708539909 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PATRICK LEONARD FIELDS (ADMINISTRATOR) |
| Authorized Official Telephone | 8708534224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 20101 | AR | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Delta Family Center | Doing Business As Name - Organization |
| Street Address |
815 E SAINT LOUIS ST |
| City | HAMBURG |
| State | AR |
| Zip Code | 71646-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699130468 | Mainline Health Systems, Inc. | Clinic/Center | 206 S Bartlett, Hamburg, AR 71646 | 2015-12-22 |
| 1578980595 | Cynthia Dianne Stahley | Nurse Practitioner | 1109 Cub Drive, Hamburg, AR 71646 | 2014-03-27 |
| 1215161708 | Cleveland County School District | Local Education Agency (LEA) | 202 E Parker Street, Hamburg, AR 71646 | 2009-05-12 |
| 1013159557 | Kara Elizabeth Morgan | Dentist | 303 W. Lincoln Street, Hamburg, AR 71646 | 2009-03-30 |
| 1558530733 | Leslie Stephanie Hodge | Case Manager/Care Coordinator | 101 N Cherry, Hamburg, AR 71646 | 2008-02-21 |
| 1821267006 | Daryl L Daniels Jr. | Case Manager/Care Coordinator | 101 North Cherry, Hamburg, AR 71646 | 2008-02-21 |
| 1033252267 | Footes Super Drug Inc | Pharmacy | 109 East Adams Street, Hamburg, AR 71646 | 2007-02-15 |
| 1922193937 | William Eugene Foote Iv | Dentist | 201 S Cherry St, Hamburg, AR 71646 | 2006-10-04 |
| 1437632627 | Mainline Health Systems, Inc | Clinic/Center | 1109 Cub Drive, Hamburg, AR 71646 | 2018-09-13 |
| 1679743397 | Audra Clark | Case Manager/Care Coordinator | 101 North Cherry, Hamburg, AR 71646 | 2008-03-10 |
| Find all providers in zip 71646 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508259169 | Teen Challenge Ranch of Northwest Arkansas | Residential Treatment Facility, Emotionally Disturbed Children | 16818 Hale Mountain Rd, Morrow, AR 72749-9731 | 2015-03-06 |
| 1407089873 | Faribi Mache Hill | Residential Treatment Facility, Emotionally Disturbed Children | 21815 I 30, Bryant, AR 72022-8031 | 2009-09-01 |
| 1912136144 | New Life Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 50 4th St, Oil Trough, AR 72564 | 2009-07-09 |
| 1841448966 | Centers for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 936 Jordan Drive, Monticell, AR 71657 | 2008-09-03 |
| 1326232240 | Youth Home Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 5109 W 23rd St, Little Rock, AR 72204-5101 | 2007-09-04 |
| 1326116518 | United Methodist Children's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2006-12-04 |
| 1568461887 | Ozark Guidance Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2400 S 48th St, Springdale, AR 72762-6683 | 2005-07-19 |
| 1437517844 | David Zajac | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-02-01 |
| 1104282235 | Cedric Mayo | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-01-05 |
| 1477928984 | Kelanda Williams | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2015-12-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DELTA FAMILY HEALTH AND FITNESS CENTER FOR CHILDREN, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.