SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY – NPI #1336386028
Clinic/Center
SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY is an AHC clinic located in SAN ANGELO, TX. NPPES has assigned the NPI number 1336386028 to SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY on January 16, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY” is a dba name, the actual legal business name for this organization is SHANNON MEDICAL CENTER. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment
The NPI profile was previously updated about 15 years ago on Aug 26, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY below.
NPI Profile for
SHANNON MEDICAL CENTER
(more than 17 years ago)
SAN ANGELO, TX 76905-5148 Phone: (325) 653-6741 Fax:
SAN ANGELO, TX 76902-1879 Phone: (325) 653-6741 Fax:
BILLING SUPERVISOR
Phone: (325) 657-5031
Identifiers for SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | TX | 148371103 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QE0700X - Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary) |
TX | 00168 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.