Avera Missouri River Health Center

LBN: Avera Gettysburg
Avera Missouri River Health Center is an health care organization with primary practice located at 606 E Garfield Ave , Gettysburg SD 57442-1325. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Avera Gettysburg can be contacted via phone (605) 765-2480, or through Holland, Mikel via phone (605) 224-3144.

Contact Information

Primary practice address
606 E Garfield Ave Gettysburg SD 57442-1325
Phone: (605) 765-2480
Fax: (605) 765-2704
Website:
Map and Directions
Authorized official contact:
Name: Holland, Mikel
Phone: (605) 224-3144

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 10542 South Dakota

Profile Details

NPI number 1003887266
LBN Legal business name Avera Gettysburg
DBA Doing business as Avera Missouri River Health Center
Authorized official Holland, Mikel
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 15th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003887266 NPPES
South Dakota MEDICAID 0159470
South Dakota MEDICAID 0100420
South Dakota MEDICAID 5500420

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