AVERA GETTYSBURG NPI 1003887266

NPI Information

NPI: 1003887266
Provider Name: AVERA GETTYSBURG

Doing Business As: AVERA MISSOURI RIVER HEALTH CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
606 E GARFIELD AVE
GETTYSBURG, SD
ZIP 57442
Phone: (605) 765-2480
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AVERA GETTYSBURG is a critical access general acute care hospital in Gettysburg, SD. AVERA GETTYSBURG NPI is 1003887266. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Missouri River Health Center.

The provider's business location address is:

606 E GARFIELD AVE
GETTYSBURG, SD
ZIP 57442-325
Phone: (605) 765-2480
Fax: (605) 765-2704

The provider's authorized official is Mikel Holland .
The authorized official title is Ceo/president and has the following contact phone number (605) 224-3144.

The CLIA number assigned to this NPI record is 43D0407700 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 7/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	10542	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0100420	MEDICAID	SOUTH DAKOTA
2	0159470	MEDICAID	SOUTH DAKOTA
3	5500420	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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