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Contact Information

AVERA GETTYSBURG
700 E GARFIELD AVE
GETTYSBURG, SD57442-1327
 Phone: 605-765-2488
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for AVERA GETTYSBURG

NPI Number 1790756963
LBN Legal business name AVERA GETTYSBURG
Authorized official MIKEL HOLLAND - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/27/2006
Last updated 07/15/2022 - About 4 years ago
Identifiers
SD License # 10624
SD Medicaid 0160910
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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