Shannon Medical Center

LBN: Shannon Medical Center
Shannon Medical Center is an health care organization with primary practice located at 2018 Pulliam St , San Angelo TX 76905-5148. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Shannon Medical Center can be contacted via phone (325) 657-5031, or through Kirkham, Patricia via phone (325) 657-5031.

Contact Information

Primary practice address
2018 Pulliam St San Angelo TX 76905-5148
Phone: (325) 657-5031
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kirkham, Patricia
Phone: (325) 657-5031

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1114987963
LBN Legal business name Shannon Medical Center
DBA Doing business as
Authorized official Kirkham, Patricia
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 24th, 2006
Last updated Aug 26th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114987963 NPPES
Texas Other HH2625 BLUE CROSS SNF
Texas MEDICAID 000916102 BLUE CROSS SNF

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