Shannon Home Health Services

LBN: Shannon Medical Center
Shannon Home Health Services is an health care organization with primary practice located at 3555 Knickerbocker Rd Ste 21 , San Angelo TX 76904-7610. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Shannon Medical Center can be contacted via phone (325) 747-7480, or through Wooldridge, Joseph via phone (325) 657-8212.

Contact Information

Primary practice address
3555 Knickerbocker Rd Ste 21 San Angelo TX 76904-7610
Phone: (325) 747-7480
Fax: (325) 747-7497
Website:
Map and Directions
Authorized official contact:
Name: Wooldridge, Joseph
Phone: (325) 657-8212

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 003134 Texas

Profile Details

NPI number 1225031446
LBN Legal business name Shannon Medical Center
DBA Doing business as Shannon Home Health Services
Authorized official Wooldridge, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Aug 2nd, 2023 - about last year

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 1225031446 NPPES
Texas MEDICAID 023709101
Texas Other 4557949
Texas Other HH9647

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