AVERA TYLER (NPI# 1801840517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801840517 |
| Entity Type | Organization |
| Organization Name | AVERA TYLER |
| Other Organization Name | AVERA TYLER HOSPITAL |
| Practice Address |
240 Willow St. Tyler MN 56178-0240 |
| Practice Telephone | 5072475521 |
| Practice Fax Number | 5072475972 |
| Mailing Telephone | 5072475521 |
| Mailing Fax Number | 5072475972 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | MS. SHARON A. WILLIAMS (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 5075379150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
========= | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 599245100 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 1889HAL | 01 |
| Other Name | Type Code |
|---|---|
| Avera Tyler Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003869892 | Avera Tyler | Clinic/Center | 109 E Benton St, Lake Benton, MN 56149-1309 | 2006-05-19 |
| 1063949089 | Avera Tyler | Nurse Practitioner | 312 E George St, Ivanhoe, MN 56142-9707 | 2017-05-22 |
| 1326102237 | Avera Tyler | Medicare Defined Swing Bed Unit | 240 Willow Street, Tyler, MN 56178 | 2006-12-22 |
| 1821042920 | Avera Tyler | Skilled Nursing Facility | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-22 |
| 1649223439 | Avera Tyler | Clinic/Center | 240 Willow St, Tyler, MN 56178-0240 | 2006-05-19 |
| 1992759674 | Avera Tyler | Home Health | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-19 |
| 1871546606 | Avera Tyler | Hospice Care, Community Based | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| Street Address |
240 WILLOW ST. |
| City | TYLER |
| State | MN |
| Zip Code | 56178-0240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285687004 | Luann Elizabeth Weber | Physician Assistant | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| 1184832891 | Tyler Healthcare Center Dba Tyler Healthcare Pharmacy | General Acute Care Hospital | 240 Willow St., Tyler, MN 56178 | 2007-05-18 |
| 1871546606 | Avera Tyler | Hospice Care, Community Based | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689180259 | Align Family Chiropractic LLC | Chiropractor | 117 W Hughes Street, Tyler, MN 56178 | 2017-12-19 |
| 1639235971 | John Rice Utoft | Dentist | 197 North Tyler St, Tyler, MN 56178 | 2006-12-29 |
| 1154415172 | April Rose Hanson | Pharmacist | 240 Willow Street, Tyler, MN 56178 | 2006-10-03 |
| 1285676874 | Koster Pharmacy | Pharmacy | 183 N Tyler St, Tyler, MN 56178 | 2006-06-11 |
| 1104178946 | Candice Lou Vanderplaats | Nurse Practitioner | 240 Willow Street, Tyler, MN 56178 | 2012-10-03 |
| 1326102237 | Avera Tyler | Medicare Defined Swing Bed Unit | 240 Willow Street, Tyler, MN 56178 | 2006-12-22 |
| 1225081474 | Robert William Tatreau | Family Medicine | 240 Willow St, Tyler, MN 56178 | 2006-05-18 |
| 1649223439 | Avera Tyler | Clinic/Center | 240 Willow St, Tyler, MN 56178-0240 | 2006-05-19 |
| 1104870948 | Edward B Novak | Family Medicine | 240 Willow St, Tyler, MN 56178-0240 | 2006-05-19 |
| 1396801130 | Isd 2902 Rtr Public Schools | Local Education Agency (LEA) | 100 Strong Street, Tyler, MN 56178-0659 | 2006-12-28 |
| Find all providers in zip 56178 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588913834 | East Texas Medical Center Tyler | General Acute Care Hospital | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
| 1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
| 1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
| 1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
| 1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.