SHANNON MEDICAL CENTER (NPI# 1992707228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992707228 |
| Entity Type | Organization |
| Organization Name | SHANNON MEDICAL CENTER |
| Practice Address |
120 E Harris Ave San Angelo TX 76903-5904 |
| Mailing Address |
Po Box 1879 San Angelo TX 76902-1879 |
| Practice Telephone | 3256536741 |
| Mailing Telephone | 3256576741 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | MISS PATRICIA KIRKHAM (BILLING SUPERVISOR) |
| Authorized Official Telephone | 3256575031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 168 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 137226005 | 05 | |
| TX | SMC CRNA | 00C97L | 01 |
| TX | SMC HBP | 00CT73 | 01 |
| TX | BLUE CROSS ACUTE | HH0102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730211533 | Shannon Medical Center | Ambulance | 120 E Harris, San Angelo, TX 76903 | 2007-03-09 |
| 1225031446 | Shannon Medical Center | Home Health | 2030 Pulliam St, Ste 6, San Angelo, TX 76905-5157 | 2005-05-23 |
| 1699016337 | Shannon Medical Center | Clinic/Center | 2008 Nine Rd, Brady, TX 76825-7210 | 2013-03-05 |
| 1336386028 | Shannon Medical Center | Clinic/Center | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2009-01-16 |
| 1013977784 | Shannon Medical Center | Psychiatric Hospital | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-25 |
| 1992765663 | Shannon Medical Center | Chronic Disease Hospital | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-25 |
| 1235199084 | Shannon Medical Center | Psychiatric Unit | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-03-24 |
| 1114987963 | Shannon Medical Center | Skilled Nursing Facility | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-03-24 |
| 1306806153 | Shannon Medical Center | Rehabilitation Unit | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-24 |
| 1104886969 | Shannon Medical Center | Clinic/Center | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-24 |
| Street Address |
120 E HARRIS AVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455113 | Michael F Carper | Pharmacist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2005-05-24 |
| 1083185565 | Stephanie Lauren Hayes | Nurse Practitioner | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-12-10 |
| 1326556283 | Erin E Miller | Occupational Therapist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-01-12 |
| 1700398484 | Jacob Webster | Physician Assistant | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2017-11-02 |
| 1518322890 | Justina Casiano | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-30 |
| 1114392040 | Megan Webb | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-03 |
| 1316312341 | Chelsie Jenna Barnes | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-02 |
| 1881069912 | Tiffany Rohmfeld | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1164897252 | Nicole Lusk | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1750756888 | Jessica Butts | Dietitian, Registered | 120 E Harris Ave, Food & Nutrition Dept, San Angelo, TX 76903-5904 | 2015-12-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720491376 | Douglas Fambro | General Acute Care Hospital | 2228 Valleyview Blvd Apt 1307, San Angelo, TX 76904-8717 | 2014-06-10 |
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| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
| 1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
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| City | SAN ANGELO |
| Zip Code | 76903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.