Newburn Health Services, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116336 Issued in TX

Legal business name

NEWBURN HEALTH SERVICES, INC.

Doing business as

Bonner Place

Practice address

421 S Bonner St
Jacksonville, TX 75766-2330

Phone

(903) 586-9871

Fax

(903) 586-5866

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jan L Brazier, ADM.

Title

Administrator

Phone

(903) 586-9871

Specialties & licenses 1

Addresses

Other names 1

• Bonner Place Doing business as

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427086024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S. BONNER ST.",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662330",
            "telephone_number": "903-586-9871",
            "fax_number": "903-586-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S BONNER ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662330",
            "telephone_number": "903-586-9871",
            "fax_number": "903-586-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURN HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAZIER",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-586-9871",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADM."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonner Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Skilled Nursing Facility in Texas

• 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.