MEDICARE: CLEMENT J. ZABLOCKI VA MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	35045700
2	282N00000X	General Acute Care Hospital	35045700	WI

General Provider Information

NPI Number	:	1811164924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEMENT J. ZABLOCKI VA MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2172 N 63RD ST
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53213-2026
Country	:	US
Telephone Number	:	414-259-1239
Fax Number	:

Provider Business Practice Location Address
First Line	:	2172 N 63RD ST
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53213-2026
Country	:	US
Telephone Number	:	414-259-1239
Fax Number	:

Authorized Official
Title or Position	:	LPN
Name	:	MISS LYNETTE BOYD
Credential	:
Telephone Number	:	414-259-1239

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/08/2008

Similar Medicare Providers

1841124864 — SARAH LOMPA MS, RD, CD
Practice Location Address:

2184 N 63RD ST
WAUWATOSA, WI
53213-2026

Practice Phone: 262-349-5804
Practice Fax:

1053255273 — EXHALE PSYCHIATRY SC
Practice Location Address:

2026 MARTHA WASHINGTON DRIVE , PMB #17042909
WAUWATOSA, WI
53213

Practice Phone: 414-262-5385
Practice Fax: 458-231-8620

1255760641 — DR. CAROLYN PUCHLERZ
Practice Location Address:

6950 W STATE ST
WAUWATOSA, WI
53213-2813

Practice Phone: 414-464-4601
Practice Fax:

1447258025 — ANEW HEALTH CARE SERVICES INC
Practice Location Address:

7425 HARWOOD AVE
WAUWATOSA, WI
53213-2626

Practice Phone: 414-475-7788
Practice Fax: 414-475-5215

1285633743 — THE LUTHERAN HOME, INC.
Practice Location Address:

7500 W NORTH AVE
WAUWATOSA, WI
53213-1717

Practice Phone: 414-258-6170
Practice Fax: 414-777-1723

1649270356 — INDEPENDENT LIVING SUPPLIES, LLC
Practice Location Address:

6100 W BLUEMOUND RD
WAUWATOSA, WI
53213-4143

Practice Phone: 414-329-3962
Practice Fax: 414-329-3970

Directions to “CLEMENT J. ZABLOCKI VA MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.