AVERA TYLER; NPI #1649223439

Contact Information

AVERA TYLER

240 WILLOW ST
TYLER, MN 56178-0240

Phone: 507-247-5921
Fax: 507-247-5184
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for AVERA TYLER

NPI # 1649223439

LBN Legal business name AVERA TYLER

Authorized official DEBBIE STREIER - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/19/2006

Last updated 12/02/2022 - About 4 years ago

Identifiers

MN	Medicaid	97635800
MN	Other	5T014TY	BLUE CROSS BLUE SHIELD
MN	Other	C07385	PART B MC

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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