NPIMap

Organization Active NPI

Shannon Medical Center

  • Ambulance
  • San Angelo, TX
National Provider Identifier
1730211533
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
226011 Issued in TX
Legal business name
SHANNON MEDICAL CENTER
Practice address
120 E Harris
San Angelo, TX 76903
Phone
(325) 481-8588
Fax
(325) 657-8227
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendy Keel
Title
Director
Phone
(325) 481-8588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 226011 TX Primary

Addresses

Primary practice location

120 E Harris
San Angelo, TX 76903

Mailing address

120 E Harris
San Angelo, TX 76903
Phone (325) 481-8588

Other identifiers 3

IdentifierTypeStateIssuer
000707201MedicaidTX
590012995OtherTXRAILROAD MEDICARE
432038769OtherTXTRICARE

Other names 1

  • Shannon AirMed 1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Karen G Rightmire MD9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 E Harris Ave
San Angelo, TX 76903
Phone (915) 658-1256

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1730211533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E HARRIS",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-481-8588",
            "fax_number": "325-657-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E HARRIS",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-481-8588",
            "fax_number": "325-657-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KEEL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "325-481-8588"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "226011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000707201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012995",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "432038769",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon AirMed 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.