NPIMap

Upland Hills Health, Inc.

Organization Active NPI Family Medicine Physician · Montfort, WI

NPI 1356685960 · NPPES record last updated Nov 20, 2012

Key facts

NPI
1356685960
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
UPLAND HILLS HEALTH, INC.
Practice address
202 W US Highway 18
Montfort, WI 53569-9452
Phone
(608) 943-6308
Fax
(608) 943-8408
NPI assigned
Nov 20, 2012
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 5

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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

Affiliated clinicians 202

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

View all 202

Medicare Care Compare: Hospital

Listed as
Upland Hills Health CCN 521352
Overall star rating
★★★★☆ 4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

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
Corporation · Non-profit
Incorporated
Feb 1, 1974 in WI
Enrollment address
800 Compassion Way
Dodgeville, WI 53533-1956

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 Director
Director		 Jan 1, 2024
Danielle Moyer
Individual 		Corporate Director
VP of Finance		 Jan 1, 2026
W-2 Managing Employee Jan 1, 2026
Lisa a Schnedler
Individual 		Corporate Director
Ceo		 Mar 22, 2022
W-2 Managing Employee
Ceo		 Jul 8, 2013
Bradley D Laufenberg
Individual 		Corporate Officer
Vice President, Board of Directo		 Jun 1, 2010
Sandra Fischer
Individual 		Corporate Director
Director		 Jan 1, 2024
John G Thronson
Individual 		Corporate Director
Member, Board of Trustees		 Apr 24, 2013
Margo Francisco
Individual 		Corporate Director
Director		 Jan 1, 2024
David Engels
Individual 		Corporate Director
Director		 Jan 1, 2024
Theodore Jon Greenheck
Individual 		Corporate Officer
Treasurer, Board of Directors		 Jun 1, 2010
James M Massey
Individual 		Corporate Director
Member, Board of Directors		 Jun 1, 2011

Medicare enrollment records

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X
Family Nurse Practitioner
Group: 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 identifiers

IdentifierTypeStateIssuer
WI1085OtherWIMEDICARE PTAN

Other names

  • Upland Hills Health Clinic - Montfort Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 20, 2012.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WI1085",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Hills Health Clinic - Montfort",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montfort, WI

All providers in Montfort, WI · Family Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.