OrganizationActive
Indianhead Medical Center Shell Lake, Inc
NPI 1568438125 · Critical Access Hospital · Shell Lake, WI
Provider details
- NPI number
- 1568438125
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Organization subpart
- No
- Authorized official
- Shannon Jack, Executive Vice President(715) 468-7833
- License
- 1047 (WI)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
113 4th Avenue
Shell Lake, WI 54871
Phone: (715) 468-7833
Street-level locationGet directions
Mailing address
113 4th Avenue
Shell Lake, WI 54871
Registry dates
- Enumerated
- 2006-02-24
- 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.