Indianhead Medical Center Shell Lake Inc

LBN: Indianhead Medical Center Shell Lake Inc
Indianhead Medical Center Shell Lake Inc is an health care organization with primary practice located at 113 Fourth Ave , Shell Lake WI 54871. The organization recently has only one registered license in Agencies / Home 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 Laursen, Doris Jean via phone (715) 468-7833.

Contact Information

Primary practice address
113 Fourth Ave Shell Lake WI 54871
Phone: (715) 468-7833
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Laursen, Doris Jean Registered Nurse (RN)
Phone: (715) 468-7833

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 324 Wisconsin

Profile Details

NPI number 1629110077
LBN Legal business name Indianhead Medical Center Shell Lake Inc
DBA Doing business as
Authorized official Laursen, Doris Jean Registered Nurse (RN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jan 14th, 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 1629110077 NPPES
Wisconsin MEDICAID 41533400

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