SHANNON MEDICAL CENTER
NPI 1104886969
Clinic/Center - Ambulatory Surgical in San Angelo, TX

Active since March 24, 2006
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 19, 2026.

About Shannon Medical Center NPPES

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

SHANNON MEDICAL CENTER (NPI 1104886969) is a healthcare organization registered as an ambulatory surgical in San Angelo, Texas and active in the NPI registry since March 2006. The organization lists Patricia Kirkham, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1104886969
Entity TypeOrganization
Primary Taxonomy261QA1903X
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
Organization SubpartNo
Authorized OfficialPatricia KirkhamBilling Supervisor · (325) 657-5031
Enumeration DateMarch 24, 2006
Last NPPES UpdateAugust 26, 2011
NPI 1104886969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
120 E HARRIS AVE, San Angelo, TX 76903

Other Identifiers 1

Medicaid137226004TX

Accepted Insurance

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.

Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine (Emergency Medical Services)
120 E HARRIS AVE, EMERGENCY ROOM
SAN ANGELO, TX 76903
Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Long Term Care Hospital
120 E HARRIS AVE, 6TH FLOOR
SAN ANGELO, TX 76903
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104886969, enumerated as an "organization" on March 24, 2006.

The provider is located at 120 E HARRIS AVE SAN ANGELO, TX 76903 and the phone number is (325) 657-5031.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.