Shell Lake Clinic, Ltd
Shell Lake Clinic, Ltd is a healthcare organization registered as Family Medicine Physician in Shell Lake, WI, holding Type 2 (organization) NPI 1083722805 since 2006. The authorized official on file is Jeffrey Dunham, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083722805 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shell Lake Clinic, Ltd |
| Practice address | 105 4TH AVE, Shell Lake, WI, 54871 |
| Phone | 7154682711 |
| Fax | 7154682727 |
| Enumeration date | 2006-08-29 |
| Last updated in NPPES | 2008-10-23 |
Authorized official
| Name | Jeffrey Dunham |
|---|---|
| Title | President |
| Phone | 7154682711 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32751100 | Medicaid | WI | — |
Copy-ready billing details
Provider: Shell Lake Clinic, Ltd NPI: 1083722805 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 105 4TH AVE, Shell Lake, WI, 54871
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316945512 | Kenneth Garrison | Individual | Surgery Physician | Shell Lake, WI |
| 1588737456 | Kenneth J Garrison, MD, Sc | Organization | Surgery Physician | Shell Lake, WI |
| 1508225988 | Shell Lake Clinic, Ltd | Organization | Family Medicine Physician | Shell Lake, WI |
Verify this record
Cross-check NPI 1083722805 against the authoritative CMS record: view Shell Lake Clinic, Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Shell Lake Clinic, Ltd?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-10-23.