Active NPI
Tyler Healthcare Center Dba Tyler Healthcare Pharmacy
- General Acute Care Hospital
- Tyler, MN
National Provider Identifier
1184832891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- TYLER HEALTHCARE CENTER DBA TYLER HEALTHCARE PHARMACY
- Practice address
- 240 Willow St.
Tyler, MN 56178 - Phone
- (507) 247-5521
- Fax
- (507) 247-2325
- NPI assigned
- May 18, 2007
- Last updated
- Dec 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debbie Streier
- Title
- Ceo
- Phone
- (507) 537-9160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | MN | Primary |
Addresses
Primary practice location
240 Willow St.
Tyler, MN 56178
Mailing address
240 Willow Street
Tyler, MN 56178-0280
Phone (507) 247-5521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1184832891. Details of each certification follow.
Hospital certification: CCN 240145
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- TYLER HEALTHCARE CENTER, INC
- Certification status
- Terminated Other: provider status change, Sep 1, 2003
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Oct 30, 2002
- Beds
- 20
- Ownership / control type
- Other
- Facility address
- 240 Willow Street
Tyler, MN 56178
National Provider Directory
National Provider Directory- Tax ID family
- Avera Lake Benton Clinic
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medicare Defined Swing Bed Hospital Unit
- Tyler, MN
- NPI 1326102237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669939200000",
"number": "1184832891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 WILLOW STREET",
"city": "TYLER",
"state": "MN",
"postal_code": "561780280",
"telephone_number": "507-247-5521",
"fax_number": "507-247-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 WILLOW ST.",
"city": "TYLER",
"state": "MN",
"postal_code": "56178",
"telephone_number": "507-247-5521",
"fax_number": "507-247-2325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYLER HEALTHCARE CENTER DBA TYLER HEALTHCARE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A",
"authorized_official_last_name": "STREIER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "507-537-9160",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.