Provider Demographics
NPI:1972851418
Name:UPLAND HILLS HEALTH, INC.
Entity Type:Organization
Organization Name:UPLAND HILLS HEALTH, INC.
Other - Org Name:UPLAND HILLS HEALTH CLINIC - HIGHLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CEO
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:608-930-7200
Mailing Address - Street 1:551 MAIN ST
Mailing Address - Street 2:PO BOX 266
Mailing Address - City:HIGHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53543-9779
Mailing Address - Country:US
Mailing Address - Phone:608-929-4518
Mailing Address - Fax:608-929-7697
Practice Address - Street 1:551 MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:WI
Practice Address - Zip Code:53543-9779
Practice Address - Country:US
Practice Address - Phone:608-929-4518
Practice Address - Fax:608-929-7697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIWI1085OtherMEDICARE PTAN