Senior Citizen'S Activity Center of Burkburnett Inc.

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

License

43626301 Issued in TX

Legal business name

SENIOR CITIZEN'S ACTIVITY CENTER OF BURKBURNETT INC.

Practice address

220 E 5TH St
Burkburnett, TX 76354-3403

Phone

(940) 569-0821

Fax

(940) 569-2551

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda Dianne Jackson

Title

Executive Direcror

Phone

(940) 569-0821

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770625915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E 5TH ST",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763543403",
            "telephone_number": "940-569-0821",
            "fax_number": "940-569-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 5TH ST",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763543403",
            "telephone_number": "940-569-0821",
            "fax_number": "940-569-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CITIZEN'S ACTIVITY CENTER OF BURKBURNETT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECROR",
        "authorized_official_telephone_number": "940-569-0821",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "TX",
            "license": "43626301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Delivered Meals in Burkburnett, TX
• Providers in Burkburnett, TX by specialty
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• 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.