Provider Demographics
NPI:1922407139
Name:UPLAND HILLS HEALTH, INC,
Entity Type:Organization
Organization Name:UPLAND HILLS HEALTH, INC,
Other - Org Name:UPLAND HILLS HEALTH CLINIC - SPRING GREEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHNEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-930-8000
Mailing Address - Street 1:156 W JEFFERSON ST
Mailing Address - Street 2:PO BOX 250
Mailing Address - City:SPRING GREEN
Mailing Address - State:WI
Mailing Address - Zip Code:53588-8005
Mailing Address - Country:US
Mailing Address - Phone:608-588-2600
Mailing Address - Fax:608-588-2644
Practice Address - Street 1:156 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SPRING GREEN
Practice Address - State:WI
Practice Address - Zip Code:53588-8005
Practice Address - Country:US
Practice Address - Phone:608-588-2600
Practice Address - Fax:608-588-2644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty