INDIANHEAD MEDICAL CENTER - NPI 1659899078 - Clinic/Center in Shell Lake, WI

Q: What is Indianhead Medical Center Shell Lake, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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About Indianhead Medical Center NPPES

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

INDIANHEAD MEDICAL CENTER (NPI 1659899078) is a healthcare organization registered as a rural health in Shell Lake, Wisconsin and active in the NPI registry since September 2017. The organization lists Shannon James Jack, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1659899078

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameINDIANHEAD MEDICAL CENTER SHELL LAKE, INC.

Location Address113 4TH AVEShell Lake, WI 54871-4457

Mailing AddressPo Box 300Shell Lake, WI 54871-0300 · (715) 468-7833

Phone(715) 468-7833

Fax(715) 468-7303

Organization SubpartNo

Authorized OfficialShannon James JackExecutive Vice President · (715) 468-7833

Enumeration DateSeptember 6, 2017

Last NPPES UpdateMarch 9, 2020

NPPES CertifiedMarch 9, 2020

✔ NPI 1659899078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

113 4TH AVE, Shell Lake, WI 54871

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Other Names 1

Doing Business AsIndianhead Medical Center

Other Identifiers 1

Medicaid11020700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXANDER JERROLD EGGEN DPT

Physical Therapist