Indianhead Medical Center

LBN: Indianhead Medical Center Shell Lake, Inc.
Indianhead Medical Center is an health care organization with primary practice located at 113 4Th Ave , Shell Lake WI 54871-4457. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Indianhead Medical Center Shell Lake, Inc. can be contacted via phone (715) 468-7833, or through Jack, Shannon James via phone (715) 468-7833.

Contact Information

Primary practice address
113 4Th Ave Shell Lake WI 54871-4457
Phone: (715) 468-7833
Fax: (715) 468-7303
Website:
Map and Directions
Authorized official contact:
Name: Jack, Shannon James
Phone: (715) 468-7833

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1659899078
LBN Legal business name Indianhead Medical Center Shell Lake, Inc.
DBA Doing business as Indianhead Medical Center
Authorized official Jack, Shannon James
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2017
Last updated Mar 9th, 2020 - about 4 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 1659899078 NPPES
Wisconsin MEDICAID 11020700

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