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SHANNON CLINIC
NPI 1245230465
Clinic/Center - Rural Health in Ozona, TX

Active since July 29, 2005
102 NORTH AVENUE H, OZONA, TX 76943(325) 392-3788(325) 392-5445 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2020, Jan 21, 2020, Mar 12, 2019 and 1 more (4 updates tracked since 2017).

About Shannon Clinic NPPES

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

SHANNON CLINIC (NPI 1245230465) is a healthcare organization registered as a rural health in Ozona, Texas and active in the NPI registry since July 2005. The organization lists Ricardo Villarreal, Cao, as its authorized official.

NPPES Registry Identity

NPI1245230465
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSHANNON CLINIC
Location Address102 NORTH AVENUE HOzona, TX 76943-0907
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2166
Phone(325) 392-3788
Fax(325) 392-5445
Organization SubpartNo
Authorized OfficialRicardo VillarrealCao · (325) 481-8248
Enumeration DateJuly 29, 2005
Last NPPES UpdateFebruary 27, 20204 updates tracked since enumeration
✔ NPI 1245230465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
102 NORTH AVENUE H, Ozona, TX 76943
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Other Identifiers 1

Medicaid149090601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Clinic's NPI number?

The NPI number for Shannon Clinic is 1245230465. It was assigned to this organization in the NPPES registry on July 29, 2005.

Where is Shannon Clinic located?

Shannon Clinic is located at 102 North Avenue H, Ozona, TX 76943. The listed phone number is (325) 392-3788.

What is Shannon Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Shannon Clinic accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Shannon Clinic 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 Clinic was last updated on February 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.