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 2030 Pulliam St, San Angelo, TX and can be reached out via phone at 325-659-7480 and via fax at325-659-7497. You can also correspond with Shannon Medical Center through the mailing address at 2030 PULLIAM ST, SAN ANGELO, TX - 76905-5157 (mailing address contact number: 325-659-7480).
Provider Profile Details
NPI Number
1225031446
Provider Name
Shannon Medical Center
Credential
Provider Entity Type
Organization
Address
2030 Pulliam St, San Angelo, TX, 76905-5157
Phone Number
325-659-7480
Fax Number
325-659-7497
Provider Enumeration Date
05/23/2005
Last Update Date
04/08/2013
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4557949 | 01 | TX | AETNA |
| HH9647 | 01 | TX | BLUE CROSS |
| 023709101 | 05 | TX |
Provider Business Practice Location Address Details
Address
2030 Pulliam St
City
San Angelo
State
Texas
Zip
76905-5157
Phone Number
325-659-7480
Fax Number
325-659-7497
Provider Business Mailing Address Details
Address
2030 Pulliam St
City
San Angelo
State
Texas
Zip
76905-5157
Phone Number
325-659-7480
Fax Number
325-659-7497
Provider's Primary Taxonomy Details
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.