National Provider Identifier Database

SHANNON MEDICAL CENTER
Children


Contact Information

SHANNON MEDICAL CENTER
120 E HARRIS AVE
SAN ANGELO, TX76903-5904
Phone: 325-657-5031
Fax:
Website:
Specialty Taxonomy Code
* Children 281PC2000X

* Indicates primary specialty

NPI Profile & details for SHANNON MEDICAL CENTER

NPI Number 1992765663
Legal business name
LBN
SHANNON MEDICAL CENTER
Authorized official PATRICIA KIRKHAM - (BILLING SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 03/25/2006
Last updated 08/26/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 094720202
  • TX Medicaid: 137226011

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SHANNON MEDICAL CENTER

There are currently no reviews for SHANNON MEDICAL CENTER


NPIdb - Home
v2.201