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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: August 09, 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
Phone(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
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Other Identifiers 1

Medicaid137226004TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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.

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
SHANNON MEDICAL CENTER
Psychiatric Hospital
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 657-5031
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

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 1104886969. It was assigned to this organization in the NPPES registry on March 24, 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 Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Shannon Medical Center accept?

Health plans from Blue Cross and Blue Shield of Texas list Shannon Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Medical Center was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.