| Shannon Medical Center | |
|
2018 Pulliam St San Angelo TX 76905-5148 | |
| (325) 657-5031 | |
| Not Available |
| Full Name | Shannon Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2018 Pulliam St, San Angelo, Texas |
| Authorized Official Name and Position | Patricia Kirkham (BILLING SUPERVISOR) |
| Authorized Official Contact | 3256575031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Medical Center Po Box 1879 San Angelo TX 76902-1879 Ph: (325) 657-5031 | Shannon Medical Center 2018 Pulliam St San Angelo TX 76905-5148 Ph: (325) 657-5031 |
| NPI Number | 1235199084 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 08/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235199084 | NPI | - | NPPES |
| 137226006 | Medicaid | TX | |
| HH3102 | Other | TX | BLUE CROSS PSYCH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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