AVERA GETTYSBURG (NPI# 1881754497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881754497 |
| 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 | 6057652488 |
| Practice Fax Number | 6057652704 |
| Mailing Telephone | 6057652488 |
| Mailing Fax Number | 6057652704 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-05-25 |
| Authorized Official Name | MR. ROBERT SHECKLER (ADMINISTRATOR) |
| Authorized Official Telephone | 6057652488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 10542 | SD | Hospital Units |
| Other Name | Type Code |
|---|---|
| Avera Gettysburg Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003887266 | Avera Gettysburg | General Acute Care Hospital | 606 E Garfield Ave, Gettysburg, SD 57442-1325 | 2006-01-27 |
| 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 |
| 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 |
|---|---|---|---|---|
| 1003887266 | Avera Gettysburg | General Acute Care Hospital | 606 E Garfield Ave, Gettysburg, SD 57442-1325 | 2006-01-27 |
| 1134682933 | Daylon Duane Wigart | Nurse Practitioner | 606 E Garfield Ave, Gettysburg, SD 57442-1325 | 2019-04-09 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713457 | Avera St Marys | Medicare Defined Swing Bed Unit | 801 East Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| 1265467245 | Pioneer Memorial Hospital & Health Services | Medicare Defined Swing Bed Unit | 315 N Washington Street, Viborg, SD 57070-0368 | 2006-07-11 |
| 1205803160 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1220 Montgomery St, Custer, SD 57730-1705 | 2006-02-28 |
| 1861466898 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1440 N Main St, Spearfish, SD 57783-1505 | 2006-02-15 |
| 1144292244 | City of Redfield | Medicare Defined Swing Bed Unit | 111 West 10th Ave, Redfield, SD 57469-1519 | 2006-02-02 |
| 1417215740 | Avera Mckennan | Medicare Defined Swing Bed Unit | 400 Park Ave, Gregory, SD 57533-1302 | 2012-04-24 |
| 1366611402 | Avera Mckennan | Medicare Defined Swing Bed Unit | 300 W 5th St, Miller, SD 57362-1238 | 2008-02-22 |
| 1255500534 | Avera Queen of Peace | Medicare Defined Swing Bed Unit | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2008-02-21 |
| 1679635239 | Huron Regional Medical Center | Medicare Defined Swing Bed Unit | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2006-12-13 |
| 1407918063 | Huron Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 172 4th St Se, Huron, SD 57350-2510 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
| City | GETTYSBURG |
| Zip Code | 57442 |
Please comment or provide details below to improve the information on AVERA GETTYSBURG.
| 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.