Healthcare Provider Details

I. General information

NPI: 1952940256
Provider Name (Legal Business Name): UPLAND HILLS HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2020
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 QUAIL RIDGE DR
BARNEVELD WI
53507-9408
US

IV. Provider business mailing address

800 COMPASSION WAY
DODGEVILLE WI
53533-1956
US

V. Phone/Fax

Practice location:
  • Phone: 608-924-1088
  • Fax: 608-924-1087
Mailing address:
  • Phone: 608-930-7198
  • Fax: 608-930-7251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISA SCHNEDLER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 608-930-7200