Indianhead Medical Center Shell Lake, Inc. is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Siren, Wisconsin. The current practice location for Indianhead Medical Center Shell Lake, Inc. is 7728 W Main St, Siren, Wisconsin. For appointments, you can reach them via phone at
(153) 492-9107. The mailing address for Indianhead Medical Center Shell Lake, Inc. is Po Box 58, Siren, Wisconsin and phone number is (715) 349-2910.
Indianhead Medical Center Shell Lake, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1518432251. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(153) 492-9107.
Primary Care Clinic Profile
| Full Name | Indianhead Medical Center Shell Lake, Inc. |
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| Speciality | Clinic/Center |
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| Location | 7728 W Main St, Siren, Wisconsin |
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| Authorized Official Name and Position | Doris Jean Laursen (DIRECTOR OF NURSING) |
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| Authorized Official Contact | 7154687833 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Indianhead Medical Center Shell Lake, Inc.
Po Box 58
Siren
WI 54872-0058
Ph: (715) 349-2910 | Indianhead Medical Center Shell Lake, Inc.
7728 W Main St
Siren
WI 54872-8041
Ph: (153) 492-9107 |
NPI Details:
| NPI Number | 1518432251 |
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| Provider Enumeration Date | 10/09/2018 |
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| Last Update Date | 10/09/2018 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6406748839 |
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| Medicare Enrollment ID | O20181025000389 |
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Medical Identifiers
Medical identifiers for Indianhead Medical Center Shell Lake, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518432251 | NPI | - | NPPES |
| K100372638 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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