Healthcare Provider Details

I. General information

NPI: 1083958698
Provider Name (Legal Business Name): UPLAND HILLS HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 MAIN ST
HIGHLAND WI
53543-9779
US

IV. Provider business mailing address

551 MAIN ST PO BOX 266
HIGHLAND WI
53543-9779
US

V. Phone/Fax

Practice location:
  • Phone: 608-929-4518
  • Fax: 608-929-7697
Mailing address:
  • Phone: 608-929-4518
  • Fax: 608-929-7697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

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