NPIMap

Organization Active NPI

Senior Citizens Club of Petrolia, Inc.

  • Home Delivered Meals
  • Petrolia, TX
National Provider Identifier
1538202049
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
SENIOR CITIZENS CLUB OF PETROLIA, INC.
Practice address
111 North Prairie Avenue
Petrolia, TX 76377-0234
Phone
(940) 524-3567
Fax
(940) 524-3583
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Martha Rebecca Poyner
Title
Executive Director
Phone
(940) 524-3567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X TX Primary

Addresses

Primary practice location

111 North Prairie Avenue
Petrolia, TX 76377-0234

Mailing address

PO Box 234
Petrolia, TX 76377-0234
Phone (940) 524-3567

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538202049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234",
            "city": "PETROLIA",
            "state": "TX",
            "postal_code": "763770234",
            "telephone_number": "940-524-3567",
            "fax_number": "940-524-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTH PRAIRIE AVENUE",
            "city": "PETROLIA",
            "state": "TX",
            "postal_code": "763770234",
            "telephone_number": "940-524-3567",
            "fax_number": "940-524-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CITIZENS CLUB OF PETROLIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POYNER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "940-524-3567",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petrolia, TX

Sources for this page

  • 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.