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Shannon Medical Center
Home Health Agency in San Angelo, Texas
NPI 1225031446

Shannon Medical Center is a Home Health Agency based in San Angelo, TX. Shannon Medical Center practices in San Angelo, TX. The NPI Number for Shannon Medical Center is 1225031446 and holds a License No. 003134 (Texas).

The current practice location address for Shannon Medical Center is 3555 Knickerbocker Rd Ste 21, San Angelo, TX and can be reached out via phone at 325-747-7480 and via fax at 325-747-7497.

Location: 3555 Knickerbocker Rd Ste 21, San Angelo, TX, 76904-7610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225031446
Provider Name
Shannon Medical Center
Credential
Provider Entity Type
Organization
Address
3555 Knickerbocker Rd Ste 21, San Angelo, TX, 76904-7610
Phone Number
325-747-7480
Fax Number
325-747-7497
Provider Enumeration Date
05/23/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
023709101 05 TX
4557949 01 TX AETNA
HH9647 01 TX BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
3555 Knickerbocker Rd Ste 21
City
San Angelo
State
Texas
Zip
76904-7610
Phone Number
325-747-7480
Fax Number
325-747-7497
person
Provider Business Mailing Address Details
Address
3555 Knickerbocker Rd Ste 21
City
San Angelo
State
Texas
Zip
76904-7610
Phone Number
325-747-7480
Fax Number
325-747-7497
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
003134 (Texas)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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