OrganizationActive
Indianhead Medical Center Shell Lake, Inc.
NPI 1659899078 · Rural Health Clinic/Center · Shell Lake, WI
Provider details
- NPI number
- 1659899078
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shannon Jack, Executive Vice President(715) 468-7833
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
113 4th Ave
Shell Lake, WI 54871-4457
Phone: (715) 468-7833
Fax: (715) 468-7303
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 300
Shell Lake, WI 54871-0300
Other names (DBA / former)
- Doing business as
- Indianhead Medical Center
Registry dates
- Enumerated
- 2017-09-06
- 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.