Avera Medical Group Lake Benton

LBN: Avera Tyler
Avera Medical Group Lake Benton is an health care organization with primary practice located at 109 E Benton St , Lake Benton MN 56149-1309. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Avera Tyler can be contacted via phone (507) 368-4323, or through Streier, Debbie via phone (507) 537-9160.

Contact Information

Primary practice address
109 E Benton St Lake Benton MN 56149-1309
Phone: (507) 368-4323
Fax: (507) 368-4546
Website:
Map and Directions
Authorized official contact:
Name: Streier, Debbie
Phone: (507) 537-9160

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1003869892
LBN Legal business name Avera Tyler
DBA Doing business as Avera Medical Group Lake Benton
Authorized official Streier, Debbie
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2006
Last updated Dec 2nd, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003869892 NPPES
Minnesota MEDICAID 9732144
Minnesota Other 5T014TY

Popular Providers