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DELTA FAMILY HEALTH AND FITNESS CENTER FOR CHILDREN INC. NPI 1275739062


NPI Information

NPI: 1275739062
Provider Name: DELTA FAMILY HEALTH AND FITNESS CENTER FOR CHILDREN, INC.

Doing Business As: DELTA FAMILY CENTER

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 04D1075318

Address:
815 E SAINT LOUIS ST
HAMBURG, AR
ZIP 71646
Phone: (870) 853-4224
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DELTA FAMILY HEALTH AND FITNESS CENTER FOR CHILDREN, INC. is a residential treatment facility emotionally disturbed children in Hamburg, AR. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. DELTA FAMILY HEALTH AND FITNESS CENTER FOR CHILDREN, INC. NPI is 1275739062. The provider is registered as an organization entity type.
The provider Is Doing Business As Delta Family Center.

The provider's business location address is:

815 E SAINT LOUIS ST
HAMBURG, AR
ZIP 71646-766
Phone: (870) 853-4224
Fax: (870) 853-9909

The provider's authorized official is Patrick Leonard Fields .
The authorized official title is Administrator and has the following contact phone number (870) 853-4224.

The CLIA number assigned to this NPI record is 04D1075318 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children20101ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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