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AVERA MEDICAL GROUP IVANHOE
NPI 1063949089
Clinic/Center - Rural Health in Ivanhoe, MN

Active since May 22, 2017
312 E GEORGE ST, IVANHOE, MN 56142(507) 694-1414 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2022, Sep 10, 2020, May 22, 2017 (3 updates tracked since 2017).

About Avera Medical Group Ivanhoe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MEDICAL GROUP IVANHOE (NPI 1063949089) is a healthcare organization registered as a rural health in Ivanhoe, Minnesota and active in the NPI registry since May 2017. The organization lists Debbie Streier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063949089
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAVERA TYLER
Location Address312 E GEORGE STIvanhoe, MN 56142-9707
Mailing Address300 S Bruce StMarshall, MN 56258-1934
Phone(507) 694-1414
Organization SubpartNo
Authorized OfficialDebbie StreierCeo · (507) 537-9160
Enumeration DateMay 22, 2017
Last NPPES UpdateDecember 2, 20223 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1063949089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
312 E GEORGE ST, Ivanhoe, MN 56142
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Other Names 1

Doing Business AsAvera Medical Group Ivanhoe

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIVINE PROVIDENCE HEALTH CENTER
Medicare Defined Swing Bed Unit
312 E GEORGE ST
IVANHOE, MN 56142
Lincoln County (507) 694-1414
DIVINE PROVIDENCE HEATLH CENTER
General Acute Care Hospital (Critical Access)
312 E GEORGE ST
IVANHOE, MN 56142
Lincoln County (507) 694-1414
DIVINE PROVIDENCE HEATLH CENTER INC.
Home Health
312 E GEORGE ST
IVANHOE, MN 56142
Lincoln County (507) 694-1414
AVERA MARSHALL
Nurse Practitioner (Family)
312 E GEORGE ST
IVANHOE, MN 56142
Lincoln County (507) 694-1414
DIVINE PROVIDENCE MEDICAL CLINIC
Clinic/Center (Critical Access Hospital)
312 E GEORGE ST
IVANHOE, MN 56142
Lincoln County (507) 694-1414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Tyler's NPI number?

The NPI number for Avera Tyler is 1063949089. It was assigned to this organization in the NPPES registry on May 22, 2017. The provider is doing business as Avera Medical Group Ivanhoe.

Where is Avera Tyler located?

Avera Tyler is located at 312 E George St, Ivanhoe, MN 56142. The listed phone number is (507) 694-1414.

What is Avera Tyler's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Avera Tyler was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.