INDIANHEAD MEDICAL CENTER SHELL LAKE INC
NPI 1629110077
Home Health in Shell Lake, WI

Active since February 13, 2007
113 FOURTH AVE, SHELL LAKE, WI 54871(715) 468-7833 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indianhead Medical Center Shell Lake Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIANHEAD MEDICAL CENTER SHELL LAKE INC (NPI 1629110077) is a healthcare organization registered as a home health in Shell Lake, Wisconsin and active in the NPI registry since February 2007. The organization lists Doris Jean Laursen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629110077
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameINDIANHEAD MEDICAL CENTER SHELL LAKE INC
Location Address113 FOURTH AVEShell Lake, WI 54871
Mailing Address113 Fourth Ave, P.o. Box 300Shell Lake, WI 54871 · (715) 468-7833
Organization SubpartYes
Authorized OfficialDoris Jean LaursenAdministrator · (715) 468-7833
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJanuary 14, 2016
NPI 1629110077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in WI · 324
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
113 FOURTH AVE, Shell Lake, WI 54871

Other Identifiers 2

Medicaid41533400WI
Medicare UPIN52-7262WI

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indianhead Medical Center Shell Lake Inc's NPI number?

The NPI number for Indianhead Medical Center Shell Lake Inc is 1629110077. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Indianhead Medical Center Shell Lake Inc located?

Indianhead Medical Center Shell Lake Inc is located at 113 Fourth Ave, Shell Lake, WI 54871. The listed phone number is (715) 468-7833.

What is Indianhead Medical Center Shell Lake Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

What insurance does Indianhead Medical Center Shell Lake Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Indianhead Medical Center Shell Lake Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Indianhead Medical Center Shell Lake Inc was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.