AVERA TYLER


Address: 312 E George St, Ivanhoe, MN 56142-9707
Phone: 5076941414

AVERA TYLER (NPI# 1063949089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063949089
Entity Type Organization
Organization Name AVERA TYLER
Other Organization Name AVERA MEDICAL GROUP IVANHOE
Practice Address 312 E George St
Ivanhoe
MN 56142-9707
Mailing Address 300 S Bruce St
Marshall
MN 56258-1934
Practice Telephone 5076941414
Enumeration Date 2017-05-22
Last Update Date 2020-09-10
Authorized Official Name MARY MAERTENS (PRESIDENT/CEO)
Authorized Official Telephone 5075379160
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Avera Medical Group Ivanhoe Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003869892 Avera Tyler Clinic/Center 109 E Benton St, Lake Benton, MN 56149-1309 2006-05-19
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
1801840517 Avera Tyler General Acute Care Hospital 240 Willow St., Tyler, MN 56178-0240 2006-05-19

Office Location

Street Address 312 E GEORGE ST
City IVANHOE
State MN
Zip Code 56142-9707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629014733 Divine Providence Heatlh Center General Acute Care Hospital 312 E George St, Ivanhoe, MN 56142-9707 2006-06-20
1902246168 Avera Marshall Nurse Practitioner 312 E George St, Ivanhoe, MN 56142-9707 2013-07-02
1972660488 Divine Providence Medical Clinic Clinic/Center 312 E George St, Ivanhoe, MN 56142-9707 2007-01-03
1265467526 Divine Providence Health Center Medicare Defined Swing Bed Unit 312 E George St, Ivanhoe, MN 56142-9707 2006-07-12
1730113234 Divine Providence Heatlh Center Inc. Home Health 312 E George St, Ivanhoe, MN 56142-9707 2006-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992713739 Dawn R Bucher Nurse Practitioner 121 Saxon Ave West, Ivanhoe, MN 56142 2006-08-04
1861537482 City of Ivanhoe Ambulance 401 North Harold Street, Ivanhoe, MN 56142-0054 2007-02-21
1780752915 Richard Dean Mulder Family Medicine 121 Saxon Ave W, Ivanhoe, MN 56142-0076 2006-12-04
1215005442 Timothy E Nealy Family Medicine 121 W Saxon Ave, Ivanhoe, MN 56142-0076 2006-12-04
1326072406 Divine Providence Health Center Inc Skilled Nursing Facility 312 East George Street, Ivanhoe, MN 56142-0136 2006-07-11
1316162308 Ivanhoe Clinic Clinic/Center 121 W Saxon St, Ivanhoe, MN 56142-9504 2007-04-16
1932345436 Ashley Darlene Conner Respite Care 321 W Saxon St, Ivanhoe, MN 56142-9555 2009-01-05
1548644214 Andrea Hofmeyer-lustfield Counselor 321 W Saxon St, Ivanhoe, MN 56142-9555 2015-07-13
1265664130 Lincoln County Heartland Express Bus 319 N Rebecca St # 29, Ivanhoe, MN 56142-9572 2009-08-11
1952690034 Hendricks Community Hospital Assn & Retirement Home Clinic/Center 315 N Norman St, Ivanhoe, MN 56142-9580 2011-03-29
Find all providers in zip 56142

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952690034 Hendricks Community Hospital Assn & Retirement Home Clinic/Center 315 N Norman St, Ivanhoe, MN 56142-9580 2011-03-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902364482 St Mary's Regional Health Center Clinic/Center 300 E Main Ave, Frazee, MN 56544-4504 2019-03-04
1508378324 International Falls Memorial Hospital Association Clinic/Center 912 Main St Unit C, Littlefork, MN 56653-9379 2017-11-02
1407262405 Tri-county Hospital, Inc. Clinic/Center 102 Farwell St S, Verndale, MN 56481 2014-07-10
1457624272 Sanford Health of Northern Minnesota Clinic/Center 22 Elm St Nw, Clearbrook, MN 56634 2012-02-10
1750671186 Riverview Healthcare Association Clinic/Center 306 N Mill St, Fertile, MN 56540-4330 2011-04-19
1992012207 County of Kanabec Clinic/Center 1425 Main Street North, Pine City, MN 55063-1530 2010-09-08
1578736492 Healthpartners Rc Clinic/Center 131 Birch Avenue, Hector, MN 55342-0117 2008-04-11
1730352675 Healthpartners Rc Clinic/Center 420 Main Street North, Renville, MN 56284-0606 2008-04-11
1578735833 County of Murray Clinic/Center 119 N St Paul Ave, Fulda, MN 56131-1156 2008-03-27
1659568020 Centracare Health System-long Prairie Clinic/Center 815 Highway 71 South, Eagle Valley Clinic, Eagle Bend, MN 56446-0298 2007-10-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City IVANHOE
Zip Code 56142

Improve Information

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Dataset Information

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.

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