| Organization Name: | INDIANHEAD MEDICAL CENTER SHELL LAKE, INC |
| NPI Number: | 1568438125 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HAROLD A MCBEE (OWNER) |
| Mailing Address: | 113 4th Avenue Shell Lake |
| State: | WI US |
| Postal Code: | 54871 |
| Phone Number: | 7154687833 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 1047 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |