National Provider Identifier Database

AVERA TYLER
Rural Health


Contact Information

AVERA TYLER
240 WILLOW ST
TYLER, MN56178-0240
Phone: 507-247-5921
Fax: 507-247-5184
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for AVERA TYLER

NPI Number 1649223439
Legal business name
LBN
AVERA TYLER
Authorized official DEBBIE STREIER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/19/2006
Last updated 12/02/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 97635800
  • MN Other: 5T014TY BLUE CROSS BLUE SHIELD
  • MN Other: C07385 PART B MC

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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