OrganizationActive
Indianhead Medical Center Shell Lake, Inc.
NPI 1053859058 · Primary Care Clinic/Center · Siren, WI
Provider details
- NPI number
- 1053859058
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shannon Jack, Executive Vice President(715) 468-7833
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7728 W Main St
Siren, WI 54872-8041
Phone: (715) 349-2910
Fax: (715) 468-7303
Street-level locationGet directions
Mailing address
Po Box 300
Shell Lake, WI 54871-0300
Other names (DBA / former)
- Doing business as
- Indianhead Medical Center
- Doing business as
- Indianhead Medical Center
Registry dates
- Enumerated
- 2017-02-09
- Last updated
- 2020-03-09
- Certified
- 2020-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.