INDIANHEAD MEDICAL CENTER SHELL LAKE, INC – NPI #1568438125
General Acute Care Hospital

INDIANHEAD MEDICAL CENTER SHELL LAKE, INC is a general acute care hospital located in SHELL LAKE, WI. NPPES has assigned the NPI number 1568438125 to INDIANHEAD MEDICAL CENTER SHELL LAKE, INC on February 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 6 years ago on Mar 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INDIANHEAD MEDICAL CENTER SHELL LAKE, INC below.

NPI Profile for
INDIANHEAD MEDICAL CENTER SHELL LAKE, INC

NPI Number
1568438125
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INDIANHEAD MEDICAL CENTER SHELL LAKE, INC
Primary location
113 4TH AVENUE
SHELL LAKE, WI 54871
Phone: (715) 468-7833 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHANNON JACK
EXECUTIVE VICE PRESIDENT
Phone: (715) 468-7833
Updated
Certification Date
Mar 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 WI 1047

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.