Avera Tyler is a Skilled Nursing Facility in Tyler, Minnesota. Avera Tyler practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Avera Tyler is 1821042920. 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 5072475521 and fax number 5072475972. 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 | 5072475521 |
| Fax Number | 5072475972 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Streier Debbie |
| Telephone Number | 5075379160 |
NPI Number Detail
| NPI Number | 1821042920 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2022-12-02 |
Provider Mailing Address Detail
| Address | 240 Willow St |
|---|---|
| City | Tyler |
| State | Minnesota (MN) |
| Post Code | 561781166 |
| Phone Number | 5072475521 |
| Fax Number | 5072475972 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 376918 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1889NAL | MN | BLUE CROSS | |
| 599245100 | MN | -- |
Post Comment/ Review Below
What is the Avera Tyler's 1821042920?
The Avera Tyler's NPI (National Provider Identifier) Number is 1821042920. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Avera Tyler's physical address?
The Avera Tyler is physically located at 240 Willow St, in the city of Tyler, MN, with the postal code 561781166.
What is the Avera Tyler's specialty and taxonomy code?
The Avera Tyler's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821042920 to Avera Tyler?
The Centers for Medicare & Medicaid Services assigned the 1821042920 to Avera Tyler on 2006-05-22.
When was the information regarding Avera Tyler, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Avera Tyler, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-12-02.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC