Shannon Rural Health Clinics, Inc
NPI 1821289539ActiveOrganization· Family Medicine· San Angelo, TX
Family Medicine in San Angelo, Texas, registered in NPPES in August 2007. The authorized official on file is Bob Kavisic, Office Manager.
Overview
| NPI | 1821289539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2007 |
| Last updated in NPPES | Aug 7, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | G5439 | TX |
| Family Medicine, Adult Medicine | 207QA0505X | H4593 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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