INDIANHEAD MEDICAL CENTER SHELL LAKE INC — NPI 1871500769 (Licensed & Credentialed Hospital Units — Medicare Defined Swing Bed Unit in SHELL LAKE, WI)

CMS-1500 Box 24J / 33a • NPI

1871500769

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

275N00000X (CMS A0[7])

Licensed & Credentialed Hospital Units — Medicare Defined Swing Bed Unit

Box 32 Service Location & ZIP+4

113 4TH AVENUE, SHELL LAKE, WI, 54871

Official NPPES Practice Location

Practice Phone & Referral Fax

(715) 468-7833

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1871500769 (INDIANHEAD MEDICAL CENTER SHELL LAKE INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1871500769` (NPI-2 Organization / Facility)
Provider / Legal Name	INDIANHEAD MEDICAL CENTER SHELL LAKE INC
Plain-English Specialty	Licensed & Credentialed Hospital Units — Medicare Defined Swing Bed Unit NUCC Code: `275N00000X` (Medicare Defined Swing Bed Unit)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	113 4TH AVENUE, SHELL LAKE, WI, 54871
Practice Telephone / Fax	Tel: (715) 468-7833
Administrative Mailing Address	PO BOX 300, SHELL LAKE, WI, 54871
Enumeration & Last Sync	Enumerated: 2006-08-02 \| CMS Record Updated: 2016-01-14
Authorized Official	HAROLD MCBEE (OWNER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

113 4TH AVENUE, SHELL LAKE, WI, 54871

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Plain-English Taxonomy & CMS Crosswalk (275N00000X)

What Does Taxonomy Code 275N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 275N00000X translates to:
"Licensed & Credentialed Hospital Units — Medicare Defined Swing Bed Unit"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A0[7] (Hospital-Swing Bed Approved)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Medicare Defined Swing Bed Unit for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (INDIANHEAD MEDICAL CENTER SHELL LAKE INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`275N00000X` — Medicare Defined Swing Bed Unit Plain English: Licensed & Credentialed Hospital Units — Medicare Defined Swing Bed Unit	State: WI \| License: `1047` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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INDIANHEAD MEDICAL CENTER SHELL LAKE INC (NPI #1871500769)