NPIMap

Organization Active NPI

Upland Hills Health, Inc.

Doing business as Upland Hills Health Clinic - Montfort

  • Family Medicine Physician
  • Montfort, WI
National Provider Identifier
1356685960
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UPLAND HILLS HEALTH, INC.
Doing business as
Upland Hills Health Clinic - Montfort
Practice address
202 W US Highway 18
Montfort, WI 53569-9452
Phone
(608) 943-6308
Fax
(608) 943-8408
NPI assigned
Nov 20, 2012
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phyllis A Fritsch
Title
President/Ceo
Phone
(608) 930-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

202 W US Highway 18
Montfort, WI 53569-9452

Mailing address

202 W US Highway 18
Montfort, WI 53569-9452
Phone (608) 943-6308

Other names 1

  • Upland Hills Health Clinic - Montfort Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000406 WI Part A Provider - Critical Access Hospital 3072415553 Receives reassigned benefits from 140 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dodgeville, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356685960. Details of each certification follow.

Hospital certification: CCN 521352

Legal name
UPLAND HILLS HEALTH INC
Doing business as
UPLAND HILLS HEALTH
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2005
Last certification
Nov 19, 2004
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 1974 in WI
Enrollment address
800 Compassion Way
Dodgeville, WI 53533-1956

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Upland Hills HealthCCN 521352 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jean M Mlsna Individual Corporate DirectorDirector Jan 1, 2024
Danielle Moyer Individual Corporate DirectorVP of Finance Jan 1, 2026
W-2 Managing Employee Jan 1, 2026
Lisa a Schnedler Individual Corporate DirectorCeo Mar 22, 2022
W-2 Managing EmployeeCeo Jul 8, 2013
Bradley D Laufenberg Individual Corporate OfficerVice President, Board of Directo Jun 1, 2010
Sandra Fischer Individual Corporate DirectorDirector Jan 1, 2024
John G Thronson Individual Corporate DirectorMember, Board of Trustees Apr 24, 2013
Margo Francisco Individual Corporate DirectorDirector Jan 1, 2024
David Engels Individual Corporate DirectorDirector Jan 1, 2024
Theodore Jon Greenheck Individual Corporate OfficerTreasurer, Board of Directors Jun 1, 2010
James M Massey Individual Corporate DirectorMember, Board of Directors Jun 1, 2011

Practitioners & affiliated clinicians

Affiliated clinicians 202

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1356685960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W US HIGHWAY 18",
            "city": "MONTFORT",
            "state": "WI",
            "postal_code": "535699452",
            "telephone_number": "608-943-6308",
            "fax_number": "608-943-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W US HIGHWAY 18",
            "city": "MONTFORT",
            "state": "WI",
            "postal_code": "535699452",
            "telephone_number": "608-943-6308",
            "fax_number": "608-943-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLAND HILLS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "FRITSCH",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "608-930-8000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Hills Health Clinic - Montfort",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montfort, WI

Sources for this page

Verify at the official NPI Registry.