Avera Sunrise Manor

LBN: Avera Tyler
Avera Sunrise Manor is an health care organization with primary practice located at 240 Willow St , Tyler MN 56178-1166. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Avera Tyler can be contacted via phone (507) 247-5521, or through Streier, Debbie via phone (507) 537-9160.

Contact Information

Primary practice address
240 Willow St Tyler MN 56178-1166
Phone: (507) 247-5521
Fax: (507) 247-5972
Website:
Map and Directions
Authorized official contact:
Name: Streier, Debbie
Phone: (507) 537-9160

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 376918 Minnesota

Profile Details

NPI number 1821042920
LBN Legal business name Avera Tyler
DBA Doing business as Avera Sunrise Manor
Authorized official Streier, Debbie
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2006
Last updated Dec 2nd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821042920 NPPES
Minnesota Other 1889NAL BLUE CROSS
Minnesota MEDICAID 599245100 BLUE CROSS

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