Organization · Type 2 NPI

Avera Tyler

Rural Health Clinic/Center · Lake Benton, MN

NPI number 1003869892 Active

Practice location

109 E Benton St
Lake Benton, MN 56149-1309

Call (507) 368-4323 Map

Fax (507) 368-4546

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1003869892
Entity type: Organization (Type 2)
Issued: May 19, 2006
Last updated: Jun 12, 2026
Status: Active
Subpart: Yes of Avera Medical Group Tyler

Other names

<unavail>
Avera Lake Benton Clinic · doing business as
Avera Medical Group Lake Benton · doing business as

Authorized official

Debbie Streier
CEO
(507) 537-9160

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003869892

Avera Tyler's National Provider Identifier is 1003869892, issued on May 19, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lake Benton, MN. The record was last updated on Jun 12, 2026.