Organization
AVERA TYLER
Active
Other names
Avera Tyler Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE STREIER (CEO)
(507) 537-9160
Entity
Organization
Contact information
Practice address
240 WILLOW ST., TYLER, MN 56178-0240
(507) 247-5521
(507) 247-5972
Mailing address
240 WILLOW ST., TYLER, MN 56178-0240
(507) 247-5521
(507) 247-5972
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1889HAL
BLUE CROSS BLUE SHIELD
MN
05
—
599245100
—
MN
Enumeration date
05/19/2006
Last updated
12/02/2022
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