Shannon Dialysis Center

LBN: Shannon Joint Ventures, Inc
Shannon Dialysis Center is an health care organization with primary practice located at 2018 Pulliam St , San Angelo TX 76905-5148. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Shannon Joint Ventures, Inc can be contacted via phone (325) 659-7360, or through Gilbreath, John via phone (325) 658-1511.

Contact Information

Primary practice address
2018 Pulliam St San Angelo TX 76905-5148
Phone: (325) 659-7360
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gilbreath, John
Phone: (325) 658-1511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X F1646 Texas

Profile Details

NPI number 1588646392
LBN Legal business name Shannon Joint Ventures, Inc
DBA Doing business as Shannon Dialysis Center
Authorized official Gilbreath, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 17th, 2005
Last updated Dec 18th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588646392 NPPES
Texas MEDICAID 148371102

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