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SHANNON MEDICAL CENTER
NPI 1013977784
Psychiatric Hospital in San Angelo, TX

Active since March 25, 2006CLIA Certified · 2 labs
120 E HARRIS AVE, SAN ANGELO, TX 76903(325) 657-5031 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MEDICAL CENTER (NPI 1013977784) is a healthcare organization registered as a psychiatric hospital in San Angelo, Texas and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists Patricia Kirkham, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1013977784
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSHANNON MEDICAL CENTER
Location Address120 E HARRIS AVESan Angelo, TX 76903-5904
Mailing AddressPo Box 1879San Angelo, TX 76902-1879 · (325) 657-5031
Phone(325) 657-5031
Organization SubpartYes
Authorized OfficialPatricia KirkhamBilling Supervisor · (325) 657-5031
Enumeration DateMarch 25, 2006
Last NPPES UpdateAugust 26, 2011
✔ NPI 1013977784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
120 E HARRIS AVE, San Angelo, TX 76903
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Other Identifiers 1

OtherHH6771TX · Psycpartblue

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2290861

Shannon Medical Center-Shannon Cancer Center · San Angelo, TX
Active · expires Oct 1, 2027
CLIA Number45D2290861
Laboratory TypeHospital Outpatient Cente
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorKelly Hallmark
Laboratory Phone(325) 747-2025
Laboratory LocationShannon Medical Center-Shannon Cancer Center131 E Beauregard Ave, San Angelo, TX 76903
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D0882625

Shannon Medical Center Cardio-Pulmonary Blood Gas Laboratory · San Angelo, TX
Active · expires Feb 27, 2027
CLIA Number45D0882625
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Kelly C. Hallmark
Laboratory Phone(325) 657-5152
Laboratory LocationShannon Medical Center Cardio-Pulmonary Blood Gas Laboratory120 East Harris Box 1879, San Angelo, TX 76903
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHANIE WALLS MCCANN PHARM. D.
Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 657-5214
DR. YASEEN SALEH MD
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-6741
DR. LANCE ELIOT HAFTER D.O.
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-6741
JAVIER LEONCIO BAEZ PRESSER MD
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 481-6410
DR. EKEMINI BENEDICT USORO DO
Hospitalist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-6741
CHIAMAKA SYLVIA DIALA MD
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-6741
DR. SHELLY DENISE WEISE EDD
Physical Therapist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 653-6741
DR. SCOTT DAVID HODGE MD
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 653-6741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Medical Center's NPI number?

The NPI number for Shannon Medical Center is 1013977784. It was assigned to this organization in the NPPES registry on March 25, 2006.

Where is Shannon Medical Center located?

Shannon Medical Center is located at 120 E Harris Ave, San Angelo, TX 76903. The listed phone number is (325) 657-5031.

What is Shannon Medical Center's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Shannon Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Shannon Medical Center was last updated on August 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.