Active NPI
Thousand Hills Healthcare, LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Marinette, WI
National Provider Identifier
1982015459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 29899-020
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N41200003 | Medicaid | MI | |
| 32295300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI 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.