Provider Demographics
NPI:1972600500
Name:UPLAND HILLS HEALTH, INC.
Entity type:Organization
Organization Name:UPLAND HILLS HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-930-7200
Mailing Address - Street 1:800 COMPASSION WAY
Mailing Address - Street 2:PO BOX 800
Mailing Address - City:DODGEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53533-1956
Mailing Address - Country:US
Mailing Address - Phone:608-930-7600
Mailing Address - Fax:608-930-7243
Practice Address - Street 1:800 COMPASSION WAY
Practice Address - Street 2:
Practice Address - City:DODGEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53533-1956
Practice Address - Country:US
Practice Address - Phone:608-930-7600
Practice Address - Fax:608-930-7243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2443314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
548358OtherDEAN HEALTH PL PROV NUMBE
WI20161400Medicaid
WI20161400Medicaid