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Contact Information

SHANNON MEDICAL CENTER
131 E BEAUREGARD AVE
STE 102
SAN ANGELO, TX76903
 Phone: 325-657-8236
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Infusion Therapy

261QI0500X
Indicates primary specialty

NPI Profile & details for SHANNON MEDICAL CENTER

NPI Number 1487431433
LBN Legal business name SHANNON MEDICAL CENTER
Authorized official KELLY PLYMELL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2023
Last updated 05/21/2024 - About 2 years ago
Identifiers n/a
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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