Indianhead Medical Center Shell Lake INC

NPI #1629110077 in Shell Lake, Wisconsin

Provider Information

NPI Number
1629110077
Entity Type
Organization
Organization Name
Indianhead Medical Center Shell Lake INC
Subpart
Yes (part of a larger organization)
Parent Organization
INDIANHEAD MEDICAL CENTER SHELL LAKE INC
Primary Specialty
Home Health
Enumeration Date
Feb 13, 2007
Last Updated
Jan 14, 2016

Practice Location

Address
113 FOURTH AVE
ZIP Code
54871
Phone
(715) 468-7833

Authorized Official

Name
MRS. DORIS JEAN LAURSEN, RN
Title
ADMINISTRATOR
Phone
(715) 468-7833

Specialties & Taxonomy Codes

Specialty
Home Health

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