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SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY
NPI 1336386028
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Angelo, TX

Active since January 16, 2009
2018 PULLIAM ST, SAN ANGELO, TX 76905(325) 653-6741 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Medical Center - Outpatient Dialysis Facility NPPES

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

SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY (NPI 1336386028) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Angelo, Texas and active in the NPI registry since January 2009. The organization lists Patricia Kirkham, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1336386028
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSHANNON MEDICAL CENTER
Location Address2018 PULLIAM STSan Angelo, TX 76905-5148
Mailing AddressPo Box 1879San Angelo, TX 76902-1879 · (325) 653-6741
Phone(325) 653-6741
Organization SubpartYes
Authorized OfficialPatricia KirkhamBilling Supervisor · (325) 657-5031
Enumeration DateJanuary 16, 2009
Last NPPES UpdateAugust 26, 2011
✔ NPI 1336386028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in TX · 00168
2018 PULLIAM ST, San Angelo, TX 76905
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Other Names 1

Doing Business AsShannon Medical Center - Outpatient Dialysis Facility

Other Identifiers 2

Medicare OSCAR/certification452384TX
Medicaid148371103TX

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 11

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

DAVID NICHOLS M.D.
Emergency Medicine (Undersea and Hyperbaric Medicine)
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 659-7290
SHANNON MEDICAL CENTER
Skilled Nursing Facility
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 657-5031
THOMAS HUGH TILFORD LCSW
Social Worker (Clinical)
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 659-7270
SUSAN C WILKINSON PHD, RN, CNS
Clinical Nurse Specialist (Medical-Surgical)
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 659-7290
SHANNON MEDICAL CENTER
Psychiatric Unit
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 657-5031
DR. RANGARAO CHILUKURI MD
Internal Medicine
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 658-6138
GLEN MICHAEL MCFERREN MD
Psychiatry & Neurology (Psychiatry)
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 658-1511
GREG W ANDERSON FNP
Nurse Practitioner (Family)
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 659-7290

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 1336386028. It was assigned to this organization in the NPPES registry on January 16, 2009. The provider is doing business as Shannon Medical Center - Outpatient Dialysis Facility.

Where is Shannon Medical Center located?

Shannon Medical Center is located at 2018 Pulliam St, San Angelo, TX 76905. The listed phone number is (325) 653-6741.

What is Shannon Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

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.