AVERA GETTYSBURG (NPI# 1003887266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003887266 |
Entity Type | Organization |
Organization Name | AVERA GETTYSBURG |
Other Organization Name | AVERA GETTYSBURG HOSPITAL |
Practice Address |
606 E Garfield Ave Gettysburg SD 57442-1325 |
Practice Telephone | 6057652480 |
Practice Fax Number | 6057652704 |
Mailing Telephone | 6057652480 |
Mailing Fax Number | 6057652704 |
Enumeration Date | 2006-01-27 |
Last Update Date | 2017-05-25 |
Authorized Official Name | MR. ROBERT SHECKLER (ADMINISTRATOR) |
Authorized Official Telephone | 6057653204 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
10542 | SD | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 0100420 | 05 | |
SD | 5500420 | 05 | |
SD | 0159470 | 05 |
Other Name | Type Code |
---|---|
Avera Gettysburg Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790756963 | Avera Gettysburg | Nursing Facility/Intermediate Care Facility | 700 E Garfield Ave, Gettysburg, SD 57442-1327 | 2006-01-27 |
1366091357 | Avera Gettysburg | Physician Assistant | 606 E Garfield Ave Ste C, Gettysburg, SD 57442-1325 | 2019-09-11 |
1881754497 | Avera Gettysburg | Medicare Defined Swing Bed Unit | 606 E Garfield Ave, Gettysburg, SD 57442-1325 | 2006-12-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | AVERA GETTYSBURG HOSPITAL | 606 E Garfield, Gettysburg, SD 57442-1325 |
Street Address |
606 E GARFIELD AVE |
City | GETTYSBURG |
State | SD |
Zip Code | 57442-1325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134682933 | Daylon Duane Wigart | Nurse Practitioner | 606 E Garfield Ave, Gettysburg, SD 57442-1325 | 2019-04-09 |
1881754497 | Avera Gettysburg | Medicare Defined Swing Bed Unit | 606 E Garfield Ave, Gettysburg, SD 57442-1325 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821025198 | Kirsten Ducheneaux | Physical Therapist | 16734 Bia Rte 8 Armstrong, Gettysburg, SD 57442 | 2006-06-26 |
1487152146 | Dx Therapy LLC | Clinic/Center | 16734 Bia Rte 8 Armstrong, Gettysburg, SD 57442 | 2018-01-29 |
1093900730 | City of Gettysburg | Ambulance | 109 E Commercial Ave, Gettysburg, SD 57442-1101 | 2007-09-06 |
1346271806 | Community Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 103 E Commercial Ave, Gettysburg, SD 57442-1101 | 2006-07-05 |
1306477278 | Dakota Pharms, LLC | Pharmacy | 103 E Commercial Ave, Gettysburg, SD 57442-1101 | 2020-01-30 |
1801434279 | Dakota Pharms, LLC | Pharmacy | 103 E Commercial Ave, Gettysburg, SD 57442-1101 | 2019-12-17 |
1841372893 | Jenny Lynn Trudo | Pharmacy Technician | 103 E Commercial Ave, Gettysburg, SD 57442-1101 | 2006-10-19 |
1639251671 | Christine Marie Sawinsky | Pharmacist | 103 E Commercial Ave, Gettysburg, SD 57442-1101 | 2006-10-19 |
1558443507 | Jenny Renee Beetsch | Pharmacy Technician | 103 E Commercial Ave, Gettysburg, SD 57442-1101 | 2006-10-19 |
1629150685 | Janet Eileen Kormendy | Pharmacy Technician | 103 E Commercial Ave, Gettysburg, SD 57442-1101 | 2006-10-19 |
Find all providers in zip 57442 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
1538233549 | Winner Regional Healthcare Center | General Acute Care Hospital | 745 E 8th St, Winner, SD 57580-2677 | 2006-11-20 |
1013002286 | Eureka Community & Benevolent Hospital | General Acute Care Hospital | 200 J Ave, Eureka, SD 57437 | 2006-10-04 |
1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
1295747608 | Avera Mckennan | General Acute Care Hospital | 214 N Prairie St, Flandreau, SD 57028-1243 | 2006-08-13 |
1790791366 | Fall River Health Services | General Acute Care Hospital | 1201 Highway 71 South, Hot Springs, SD 57747-1374 | 2006-08-01 |
1275562027 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-1302 | 2006-07-02 |
1154350064 | Avera Mckennan | General Acute Care Hospital | 909 North Iowa Ave, Dell Rapids, SD 57022-1231 | 2006-07-02 |
1669418877 | Bowdle Hospital | General Acute Care Hospital | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-06-22 |
1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
Find all providers with the same taxonomy |
City | GETTYSBURG |
Zip Code | 57442 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.