AVERA TYLER NPI 1871546606

NPI Information

NPI: 1871546606
Provider Name: AVERA TYLER

Doing Business As: RIDGEVIEW HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
240 WILLOW ST.
TYLER, MN
ZIP 56178
Phone: (507) 247-5521
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AVERA TYLER is a hospice care community based in Tyler, MN. AVERA TYLER NPI is 1871546606. The provider is registered as an organization entity type.
The provider Is Doing Business As Ridgeview Hospice.

The provider's business location address is:

240 WILLOW ST.
TYLER, MN
ZIP 56178-240
Phone: (507) 247-5521
Fax: (507) 247-5972

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 CLIA number assigned to this NPI record is 24D0405325 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/19/2006 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
1	251G00000X	Hospice Care, Community Based			MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	599245100	MEDICAID	MINNESOTA

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: 5/5/2024

NPI Synchronization or Removal

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