Organization
SHANNON MEDICAL CENTER
Active
Other names
Shannon AirMed 1
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY KEEL (DIRECTOR)
(325) 481-8588
Entity
Organization
Contact information
Practice address
120 E HARRIS, SAN ANGELO, TX 76903
(325) 481-8588
(325) 657-8227
Mailing address
120 E HARRIS, SAN ANGELO, TX 76903
(325) 481-8588
(325) 657-8227
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
226011
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000707201
—
TX
01
—
432038769
TRICARE
TX
01
—
590012995
RAILROAD MEDICARE
TX
Enumeration date
03/09/2007
Last updated
04/20/2008
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