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Indianhead Medical Center Shell Lake Inc
Home Health Agency in Shell Lake, Wisconsin
NPI 1629110077

Indianhead Medical Center Shell Lake Inc is a Home Health Agency based in Shell Lake, WI. Indianhead Medical Center Shell Lake Inc practices in Shell Lake, WI. The NPI Number for Indianhead Medical Center Shell Lake Inc is 1629110077 and holds a License No. 324 (Wisconsin).

The current practice location address for Indianhead Medical Center Shell Lake Inc is 113 Fourth Ave, Shell Lake, WI and can be reached out via phone at 715-468-7833.

Location: 113 Fourth Ave, Shell Lake, WI, 54871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629110077
Provider Name
Indianhead Medical Center Shell Lake Inc
Credential
Provider Entity Type
Organization
Address
113 Fourth Ave, Shell Lake, WI, 54871
Phone Number
715-468-7833
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41533400 05 WI
institution
Provider Business Practice Location Address Details
Address
113 Fourth Ave
City
Shell Lake
State
Wisconsin
Zip
54871
Phone Number
715-468-7833
Fax Number
person
Provider Business Mailing Address Details
Address
113 Fourth Ave
City
Shell Lake
State
Wisconsin
Zip
54871
Phone Number
715-468-7833
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
324 (Wisconsin)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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