Organization Active NPI

Department of Veterans Affairs Clement J. Zablocki Medical Center

  • General Acute Care Hospital
  • Milwaukee, WI
National Provider Identifier
1003167354
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
176556-30 Issued in WI
Legal business name
DEPARTMENT OF VETERANS AFFAIRS CLEMENT J. ZABLOCKI MEDICAL CENTER
Practice address
5000 W National Ave
Milwaukee, WI 53295-1000
Phone
(414) 384-2000
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Ms. Katrina Lin Brucker
Title
RN
Phone
(920) 450-1684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 176556-30 WI Primary

Addresses

Primary practice location

5000 W National Ave
Milwaukee, WI 53295-1000

Mailing address

741 W Front St
Appleton, WI 54914-5468
Phone (920) 450-1684

Care Compare: Hospital

Medicare Care Compare
Listed as
Milwaukee VA Medical CenterCCN 52003F
Overall star rating
3 of 5
Type
Acute Care - Veterans Administration
Ownership
Veterans Health Administration
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1003167354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 W FRONT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145468",
            "telephone_number": "920-450-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532951000",
            "telephone_number": "414-384-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS CLEMENT J. ZABLOCKI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "BRUCKER",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "920-450-1684",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "176556-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.