SHANNON MEDICAL CENTER; NPI #1992765663

Contact Information

SHANNON MEDICAL CENTER

120 E HARRIS AVE
SAN ANGELO, TX 76903-5904

Phone: 325-657-5031
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	281PC2000X

Indicates primary specialty

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NPI Profile & details for SHANNON MEDICAL CENTER

NPI # 1992765663

LBN Legal business name SHANNON MEDICAL CENTER

Authorized official PATRICIA KIRKHAM - (BILLING SUPERVISOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/25/2006

Last updated 08/26/2011 - About 15 years ago

Identifiers

TX	Medicaid	094720202
TX	Medicaid	137226011

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SHANNON MEDICAL CENTER

Contact Information

Specialty

Children

NPI Profile & details for SHANNON MEDICAL CENTER

Reviews for SHANNON MEDICAL CENTER