Healthcare Provider Details

I. General information

NPI: 1245628452
Provider Name (Legal Business Name): UPLAND HILLS HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2014
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 SPRINGDALE STREET
MOUNT HOREB WI
53572
US

IV. Provider business mailing address

1809 SPRINGDALE ST
MOUNT HOREB WI
53572-2480
US

V. Phone/Fax

Practice location:
  • Phone: 608-930-8000
  • Fax:
Mailing address:
  • Phone: 608-437-8033
  • Fax: 608-437-8034

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

VIII. Authorized Official

Name: DANIELLE MOYER
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 608-930-7200