Organization
INDIANHEAD MEDICAL CENTER SHELL LAKE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD A MCBEE (OWNER)
(410) 643-3393
Entity
Organization
Contact information
Practice address
113 4TH AVENUE, SHELL LAKE, WI 54871
(715) 468-7833
Mailing address
PO BOX 300, 113 4TH AVENUE, SHELL LAKE, WI 54871
(715) 468-7833
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
1047
WI
Other
Enumeration date
08/02/2006
Last updated
01/14/2016
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