# SHANNON MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHANNON MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306806153
- **Legal business name:** SHANNON MEDICAL CENTER
- **Authorized official:** MISS PATRICIA KIRKHAM (BILLING SUPERVISOR)
- **Authorized official phone:** (325) 657-5031

## Contact information

- **Practice address:** 120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
- **Practice address phone:** (325) 657-5031
- **Mailing address:** PO BOX 1879, SAN ANGELO, TX 76902-1879
- **Mailing address phone:** (325) 657-5031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2006
- **Last updated:** 08/26/2011