Indianhead Medical Center Shell Lake, INC
NPI #1568438125 in Shell Lake, Wisconsin
Provider Information
- NPI Number
- 1568438125
- Entity Type
- Organization
- Organization Name
- Indianhead Medical Center Shell Lake, INC
- Primary Specialty
- General Acute Care Hospital - Critical Access
- Enumeration Date
- Feb 24, 2006
- Last Updated
- Mar 9, 2020
Practice Location
- Address
- 113 4TH AVENUE
- City
- Shell Lake
- State
- Wisconsin
- ZIP Code
- 54871
- Phone
- (715) 468-7833
Authorized Official
- Name
- MR. SHANNON J JACK
- Title
- EXECUTIVE VICE PRESIDENT
- Phone
- (715) 468-7833
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Critical Access — Critical Access |
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