SHANNON MEDICAL CENTER NPI 1104886969

NPI Information

NPI: 1104886969
Provider Name: SHANNON MEDICAL CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
120 E HARRIS AVE
SAN ANGELO, TX
ZIP 76903
Phone: (325) 657-5031
Get Directions

SHANNON MEDICAL CENTER is an ambulatory surgical clinic center in San Angelo, TX. SHANNON MEDICAL CENTER NPI is 1104886969. The provider is registered as an organization entity type.

The provider's business location address is:

120 E HARRIS AVE
SAN ANGELO, TX
ZIP 76903-904
Phone: (325) 657-5031

The provider's authorized official is Patricia Kirkham .
The authorized official title is Billing Supervisor and has the following contact phone number (325) 657-5031.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 8/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	137226004	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »