NPIMap

Organization Active NPI

Upland Hills Health, Inc,

Doing business as Upland Hills Health Clinic - Spring Green

  • Rural Health Clinic/Center
  • Spring Green, WI
National Provider Identifier
1922407139
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UPLAND HILLS HEALTH, INC,
Doing business as
Upland Hills Health Clinic - Spring Green
Practice address
156 W Jefferson St
Spring Green, WI 53588-8005
Phone
(608) 588-2600
Fax
(608) 588-2644
NPI assigned
Aug 14, 2014
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Lisa A Schnedler
Title
Ceo/President
Phone
(608) 930-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

156 W Jefferson St
Spring Green, WI 53588-8005

Mailing address

156 W Jefferson St
PO Box 250
Spring Green, WI 53588-8005
Phone (608) 588-2600

Other names 1

  • Upland Hills Health Clinic - Spring Green Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081016000442 WI Part B Supplier - Clinic/Group Practice 3072415553 Receives reassigned benefits from 194 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Horeb, WI; Barneveld, WI; Spring Green, WI; Montfort, WI; Mineral Point, WI; Highland, WI; Dodgeville, WI; Darlington, WI
O20140821000816 WI Part A Provider - Rural Health Clinic 3072415553 Practice locations: Spring Green, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922407139. Details of each certification follow.

Rural health clinic certification: CCN 528566

Legal name
UPLAND HILLS HEALTH INC
Doing business as
UPLAND HILLS HEALTH CLINIC - SPRING GREEN
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 14, 2015
Last certification
Jan 14, 2015
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 1974 in WI
Enrollment address
156 W Jefferson St
Spring Green, WI 53533-8005
Related CCNs
521352

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

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Upland Hills Health Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

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
Lisa a Schnedler Individual Corporate Officer Jul 8, 2013
Corporate Director Jul 8, 2013
W-2 Managing EmployeePresident/Ceo Jul 8, 2013
Bradley D Laufenberg Individual Corporate OfficerVice President/Board of Director Jun 1, 2010
Sandra Fischer Individual Corporate DirectorBoard Member Feb 1, 2021
John G Thronson Individual Corporate DirectorMember, Board of Directors Apr 24, 2013
Alan Holter Individual Corporate DirectorBoard Member Jan 1, 2024
Andrea Potterton Individual Corporate DirectorBoard Member Jan 1, 2024
Kyle Nondorf Individual Corporate DirectorBoard Member Aug 17, 2023
James M Massey Individual Corporate OfficerSecretary, Board of Directors Oct 9, 2012
Allison Stroud Individual Corporate DirectorBoard Member Jun 26, 2024
Christopher L Kinonen Individual Corporate DirectorBoard Member Jan 25, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1922407139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W JEFFERSON ST",
            "address_2": "PO BOX 250",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535888005",
            "telephone_number": "608-588-2600",
            "fax_number": "608-588-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W JEFFERSON ST",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535888005",
            "telephone_number": "608-588-2600",
            "fax_number": "608-588-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLAND HILLS HEALTH, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "SCHNEDLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "608-930-8000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Hills Health Clinic - Spring Green",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Green, WI

Sources for this page

Verify at the official NPI Registry.