| NPI | 1336386028 |
|---|---|
| Doing Business As | SHANNON MEDICAL CENTER - OUTPATIENT DIALYSIS FACILITY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA KIRKHAM Billing Supervisor 325-657-5031 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 00168) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2011-08-26 |