AVERA TYLER (NPI# 1871546606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871546606 |
| Entity Type | Organization |
| Organization Name | AVERA TYLER |
| Other Organization Name | RIDGEVIEW HOSPICE |
| Practice Address |
240 Willow St. Tyler MN 56178-0240 |
| Mailing Address |
240 Willow St Tyler MN 56178-1166 |
| Practice Telephone | 5072475521 |
| Practice Fax Number | 5072475972 |
| Mailing Telephone | 5072475521 |
| Mailing Fax Number | 5072475972 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | MRS. SHARON ANN WILLIAMS (VP OF FINANCE) |
| Authorized Official Telephone | 5075379150 |
| Is Organization Subpart | Y |
| Parent Organization Name | AVERA TYLER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | ========= | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 599245100 | 05 |
| Other Name | Type Code |
|---|---|
| Ridgeview Hospice | 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 |
| 1801840517 | Avera Tyler | General Acute Care Hospital | 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 |
| 1801840517 | Avera Tyler | General Acute Care Hospital | 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061608 | Encompass Home Health of East Texas, LLC | Hospice Care, Community Based | 100 E Ferguson St Ste 106, Tyler, TX 75702-7202 | 2020-04-15 |
| 1669897112 | Traditions Hospice of Tyler, LLC | Hospice Care, Community Based | 1820 Shiloh Rd Suite 1105, Tyler, TX 75703-2426 | 2014-02-20 |
| 1558612408 | Harbor Hospice 27, Lp | Hospice Care, Community Based | 727 E Front St, Suite 100, Tyler, TX 75702-8325 | 2012-10-01 |
| 1710252713 | Grace Hospice of East Texas, LLC. | Hospice Care, Community Based | 3324 S Keaton Ave, Tyler, TX 75701-9055 | 2012-03-09 |
| 1942586672 | Compass Hospice of East Texas LLC | Hospice Care, Community Based | 112 E Line St, Suite 100, Tyler, TX 75702-5721 | 2011-10-26 |
| 1376514299 | Heart To Heart Hospice of Tyler Ltd | Hospice Care, Community Based | 7925 S Broadway Ave, Suite 1140, Tyler, TX 75703-5227 | 2006-01-30 |
| 1639152689 | Legacy Hospice, L.L.C. | Hospice Care, Community Based | 1901 Rickety Ln Ste 103, Tyler, TX 75703-1700 | 2005-11-23 |
| 1790788958 | Hospice of East Texas | Hospice Care, Community Based | 4111 University Blvd, Tyler, TX 75701-6623 | 2005-05-23 |
| 1639555782 | Lakeside Healthcare | Hospice Care, Community Based | 1530 Ssw Loop 323, Suite 116, Tyler, TX 75701-2562 | 2015-07-30 |
| 1891119608 | Harbor Hospice of Longview Lp | Hospice Care, Community Based | 727 E Front St, Suite 100b, Tyler, TX 75702-8325 | 2014-02-13 |
| Find all providers in TYLER | ||||
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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.