AVERA TYLER NPI 1063949089

NPI Information

  • NPI: 1063949089
  • Provider Name: AVERA TYLER
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: AVERA MEDICAL GROUP IVANHOE
  • Address: 312 E GEORGE ST
    IVANHOE, MN
    ZIP 56142
  • Phone: (507) 694-1414

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NPI Details

AVERA TYLER is a rural health clinic center in Ivanhoe, MN. AVERA TYLER NPI is 1063949089. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera Medical Group Ivanhoe.

The provider's business location address is:

312 E GEORGE ST
IVANHOE, MN
ZIP 56142-707
Phone: (507) 694-1414

The provider's authorized official is Debbie Streier .
The authorized official title is Ceo and has the following contact phone number (507) 537-9160.

The enumeration date for this NPI number is 5/22/2017 and was last updated on 12/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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