SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY
NPI 1336386028
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Angelo, TX
NPI Status: Active since January 16, 2009
Contact Information
2018 PULLIAM ST
SAN ANGELO, TX
ZIP 76905
Phone: (325) 653-6741
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
About SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY
This page provides the complete NPI Profile along with additional information for Shannon Medical Center - Outpatient Dialysis Facility, a provider established in San Angelo, Texas operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1336386028 assigned on January 2009. The practitioner's primary taxonomy code is 261QE0700X with license number 00168 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Shannon Medical Center - Outpatient Dialysis Facility. The authorized official of this NPI record is Miss Patricia Kirkham (Billing Supervisor)
- NPI
- 1336386028
- Provider Legal Name
- SHANNON MEDICAL CENTER
- Other Organization Name
- SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2018 PULLIAM ST SAN ANGELO, TX 76905
- Location Phone
- (325) 653-6741
- Mailing Address
- PO BOX 1879 SAN ANGELO, TX 76902
- Mailing Phone
- (325) 653-6741
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-16-2009
- Last Update Date
- 08-26-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
- License No.
- 00168
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 452384 | MEDICARE OSCAR/CERTIFICATION (06) | TX | |
| 148371103 | MEDICAID (05) | TX |
Reviews for SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1336386028, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
SAN ANGELO, TX 76905
SAN ANGELO, TX 76905
SAN ANGELO, TX 76905
SAN ANGELO, TX 76905
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336386028, enumerated as an "organization" on January 16, 2009.
The provider is located at 2018 PULLIAM ST SAN ANGELO, TX 76905 and the phone number is (325) 653-6741.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
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.
