National Provider Identifier Database

AVERA TYLER
Hospice Care, Community Based


Contact Information

AVERA TYLER
240 WILLOW ST.
TYLER, MN56178-0240
Phone: 507-247-5521
Fax: 507-247-5972
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for AVERA TYLER

NPI Number 1871546606
Legal business name
LBN
AVERA TYLER
Authorized official DEBBIE STREIER - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 05/19/2006
Last updated 12/02/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 599245100

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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