Organization
SHANNON MEDICAL CENTER
Active
Parent organization
SHANNON MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANNON MEDICAL CENTER
Authorized official
MISS PATRICIA KIRKHAM (BILLING SUPERVISOR)
(325) 657-5031
Entity
Organization
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 657-5031
Mailing address
PO BOX 1879, SAN ANGELO, TX 76902-1879
(325) 657-5031
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH6771
PSYCPARTBLUE
TX
Enumeration date
03/25/2006
Last updated
08/26/2011
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