AVERA GREGORY NPI 1770939530

NPI Information

NPI: 1770939530
Provider Name: AVERA GREGORY
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 43D0407773

Address:
400 PARK AVE
GREGORY, SD
ZIP 57533
Phone: (605) 835-5190
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AVERA GREGORY is a critical access general acute care hospital in Gregory, SD. AVERA GREGORY NPI is 1770939530. The provider is registered as an organization entity type.

The provider's business location address is:

400 PARK AVE
GREGORY, SD
ZIP 57533-302
Phone: (605) 835-5190
Fax: (605) 835-5479

The provider's authorized official is Mckenzie Marie Randall .
The authorized official title is Physical Therapist and has the following contact phone number (605) 835-5190.

The CLIA number assigned to this NPI record is 43D0407773 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/11/2016 and was last updated on 5/11/2016.

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	1767	SOUTH DAKOTA	Yes

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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