Indianhead Medical Center Shell Lake, Inc.
NPI #1659899078 in Shell Lake, Wisconsin
Provider Information
- NPI Number
- 1659899078
- Entity Type
- Organization
- Organization Name
- Indianhead Medical Center Shell Lake, Inc.
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 6, 2017
- Last Updated
- Mar 9, 2020
Practice Location
- Address
- 113 4TH AVE
- City
- Shell Lake
- State
- Wisconsin
- ZIP Code
- 54871-4457
- Phone
- (715) 468-7833
Authorized Official
- Name
- SHANNON JAMES JACK
- Title
- EXECUTIVE VICE PRESIDENT
- Phone
- (715) 468-7833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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