Avera Tyler is a Rural Health in Tyler, Minnesota. Avera Tyler practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Avera Tyler is 1649223439. The last update date is 2022-12-02.
Avera Tyler's current location address is 240 Willow St, Tyler, Minnesota. You can contact this provider via phone number 5072475921 and fax number 5072475184. The mailing address for Avera Tyler is 240 Willow St, Tyler, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Tyler |
|---|---|
| Address | 240 Willow St, Tyler, Minnesota |
| Phone Number | 5072475921 |
| Fax Number | 5072475184 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Streier Debbie |
| Telephone Number | 5075379160 |
NPI Number Detail
| NPI Number | 1649223439 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2022-12-02 |
Provider Mailing Address Detail
| Address | 240 Willow St |
|---|---|
| City | Tyler |
| State | Minnesota (MN) |
| Post Code | 561781201 |
| Phone Number | 5072475921 |
| Fax Number | 5072475184 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C07385 | MN | PART B MC | |
| 5T014TY | MN | BLUE CROSS BLUE SHIELD | |
| 97635800 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Avera Tyler by the Centers for Medicare & Medicaid Services?
The Avera Tyler has been issued the NPI (National Provider Identifier) 1649223439. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Avera Tyler is physically located?
The Avera Tyler is physically situated at the following address: 240 Willow St, Tyler, MN, 561781201.
What is the Avera Tyler's specialty and taxonomy code?
The Avera Tyler's specialty is Rural Health, and the corresponding taxonomy code is 261Qr1300X.
On what date was the 1649223439 assigned to Avera Tyler?
The Avera Tyler was issued its 1649223439 on 2006-05-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Avera Tyler's details last updated?
The information pertaining to the Avera Tyler, including its address, specialty, and other details, was most recently updated on 2022-12-02.