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 1508225988 since 2016. The authorized official on file is Jeffrey Dunham, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508225988 |
|---|---|
| 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 | 2016-02-15 |
| Last updated in NPPES | 2016-02-15 |
Authorized official
| Name | Jeffrey Dunham |
|---|---|
| Title | President |
| Phone | 7154682711 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 61281-20 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932141157 | Medicaid | WI | — |
Copy-ready billing details
Provider: Shell Lake Clinic, Ltd NPI: 1508225988 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 |
| 1083722805 | Shell Lake Clinic, Ltd | Organization | Family Medicine Physician | Shell Lake, WI |
| 1588737456 | Kenneth J Garrison, MD, Sc | Organization | Surgery Physician | Shell Lake, WI |
Verify this record
Cross-check NPI 1508225988 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 is a Type 2 NPI?
What type of organization is Shell Lake Clinic, Ltd?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-02-15.