Organization Active NPI

Thousand Hills Healthcare, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Marinette, WI
National Provider Identifier
1982015459
Registry record updated May 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
29899-020 Issued in WI
Legal business name
THOUSAND HILLS HEALTHCARE, LLC
Practice address
N2359 Schacht Rd
Marinette, WI 54143-9735
Phone
(715) 582-2940
Fax
(715) 582-2940
NPI assigned
May 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2014

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

Authorized official

Name
Kimberlee Thill, RN
Title
Manager
Phone
(715) 923-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X 29899-020 WI Primary

Addresses

Primary practice location

N2359 Schacht Rd
Marinette, WI 54143-9735

Mailing address

N2359 Schacht Rd
Marinette, WI 54143-9735

Other identifiers 2

IdentifierTypeStateIssuer
N41200003MedicaidMI
32295300MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400371200000",
    "number": "1982015459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2359 SCHACHT RD",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541439735",
            "fax_number": "715-582-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2359 SCHACHT RD",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541439735",
            "telephone_number": "715-582-2940",
            "fax_number": "715-582-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUSAND HILLS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-18",
        "last_updated": "2014-05-18",
        "status": "A",
        "authorized_official_last_name": "THILL",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "715-923-2500",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "WI",
            "license": "29899-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N41200003",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32295300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.