Organization
SHANNON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
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) 653-6741
Mailing address
PO BOX 1879, SAN ANGELO, TX 76902-1879
(325) 657-6741
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C97L
SMC CRNA
TX
01
—
00CT73
SMC HBP
TX
05
—
137226005
—
TX
01
—
HH0102
BLUE CROSS ACUTE
TX
Enumeration date
05/31/2005
Last updated
06/24/2025
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