Delta Family Health and Fitness Center for Children, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

20101 Issued in AR

Legal business name

DELTA FAMILY HEALTH AND FITNESS CENTER FOR CHILDREN, INC.

Doing business as

Delta Family Center

Practice address

815 E Saint Louis St
Hamburg, AR 71646-2766

Phone

(870) 853-4224

Fax

(870) 853-9909

NPI assigned

Jun 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Leonard Fields

Title

Administrator

Phone

(870) 853-4224

Specialties & licenses 1

Addresses

Other names 1

• Delta Family Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lizbeth Laura Herrera, MNSC, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Dorado, AR
  • NPI 1043867914
  NPD (past)
• Shailesh C Vora, M. D.

  • Psychiatry Physician
  • Southlake, TX
  • NPI 1902878473
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275739062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W POLK ST",
            "city": "HAMBURG",
            "state": "AR",
            "postal_code": "716463179",
            "telephone_number": "870-853-4224",
            "fax_number": "870-853-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E SAINT LOUIS ST",
            "city": "HAMBURG",
            "state": "AR",
            "postal_code": "716462766",
            "telephone_number": "870-853-4224",
            "fax_number": "870-853-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA FAMILY HEALTH AND FITNESS CENTER FOR CHILDREN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-853-4224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AR",
            "license": "20101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Family Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carefirst Pharmacy and Wellness Center
• Melissa H. Carter, P.D.
• Cleveland County School District
• Crossett Health Foundation (Hamburg Health Clinic)
• Daryl L Daniels Jr., MHPP
• Dr. Chad Smith, LLC (Smith Health & Wellness Chiropratic)
• Fast Ambulance Service and Transportation LLC.
• Cathy A Flowers, BA SLPA
• William Eugene Foote IV, DDS
• Footes Super Drug Inc

• Emotionally Disturbed Childrens' Residential Treatment Facility in Hamburg, AR
• Providers in Hamburg, AR by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.