| Organization Name: | SHANNON MEDICAL CENTER |
| NPI Number: | 1013977784 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA KIRKHAM (BILLING SUPERVISOR) |
| Mailing Address: | 120 E Harris Ave San Angelo |
| State: | TX US |
| Postal Code: | 769035904 |
| Phone Number: | 3256575031 |
| Fax Number: | |
| NPI Enumeration Date: | 03/25/2006 |
| NPI Last Update Date: | 08/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283Q00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Psychiatric Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |