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

NPI Status: Active since May 22, 2017

Contact Information

312 E GEORGE ST
IVANHOE, MN
ZIP 56142
Phone: (507) 694-1414

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  • Organization
  • Clinic/Center
  • Rural Health

About AVERA MEDICAL GROUP IVANHOE

This page provides the complete NPI Profile along with additional information for Avera Medical Group Ivanhoe, a primary care provider established in Ivanhoe, Minnesota operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1063949089 assigned on May 2017. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Avera Medical Group Ivanhoe operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Avera Medical Group Ivanhoe. The authorized official of this NPI record is Debbie Streier (Ceo)

NPI
1063949089
Provider Legal Name
AVERA TYLER
Other Organization Name
AVERA MEDICAL GROUP IVANHOE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
312 E GEORGE ST IVANHOE, MN 56142
Location Phone
(507) 694-1414
Mailing Address
300 S BRUCE ST MARSHALL, MN 56258
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2017
Last Update Date
12-02-2022
Code Navigator

A primary care provider (PCP) like Avera Medical Group Ivanhoe sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBBIE STREIER

Authorized Official Title
CEO
Authorized Official Phone
(507) 537-9160

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063949089
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012318418016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 8 + 4 + 1 + 8 + 0 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1063949089 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730113234DIVINE PROVIDENCE HEATLH CENTER INC.
Organization
Home Health312 E GEORGE ST
IVANHOE, MN 56142
(507) 694-1414
1629014733DIVINE PROVIDENCE HEATLH CENTER
Organization
General Acute Care Hospital (Critical Access)312 E GEORGE ST
IVANHOE, MN 56142
(507) 694-1414
1265467526DIVINE PROVIDENCE HEALTH CENTER
Organization
Medicare Defined Swing Bed Unit312 E GEORGE ST
IVANHOE, MN 56142
(507) 694-1414
1972660488DIVINE PROVIDENCE MEDICAL CLINIC
Organization
Clinic/Center (Critical Access Hospital)312 E GEORGE ST
IVANHOE, MN 56142
(507) 694-1414
1902246168AVERA MARSHALL
Organization
Nurse Practitioner (Family)312 E GEORGE ST
IVANHOE, MN 56142
(507) 694-1414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063949089, enumerated in the NPI registry as an "organization" on May 22, 2017

The provider is located at 312 E George St Ivanhoe, Mn 56142 and the phone number is (507) 694-1414

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

This NPI record was last updated on May 22, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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