Stone Lake Rural Health Clinic

LBN: Indianhead Medical Center Shell Lake Inc
Stone Lake Rural Health Clinic is an health care organization with primary practice located at 113 4Th Avenue , Shell Lake WI 54871. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Indianhead Medical Center Shell Lake Inc can be contacted via phone (715) 468-7833, or through Mcbee, Harold A via phone (410) 643-3393.

Contact Information

Primary practice address
113 4Th Avenue Shell Lake WI 54871
Phone: (715) 468-7833
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcbee, Harold A
Phone: (410) 643-3393

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1356483796
LBN Legal business name Indianhead Medical Center Shell Lake Inc
DBA Doing business as Stone Lake Rural Health Clinic
Authorized official Mcbee, Harold A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Jan 15th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356483796 NPPES
Wisconsin MEDICAID 43062300

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