School District Of Shell Lake

LBN: School District Of Shell Lake
School District Of Shell Lake is an health care organization with primary practice located at 271 Highway 63 S , Shell Lake WI 54871-8893. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. School District Of Shell Lake can be contacted via phone (715) 468-7816, or through Gauderman, Jerry via phone (715) 468-7816.

Contact Information

Primary practice address
271 Highway 63 S Shell Lake WI 54871-8893
Phone: (715) 468-7816
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gauderman, Jerry
Phone: (715) 468-7816

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1417136110
LBN Legal business name School District Of Shell Lake
DBA Doing business as
Authorized official Gauderman, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2007
Last updated Jun 24th, 2008 - about 16 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 1417136110 NPPES
Wisconsin MEDICAID 44238600

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