AVERA MISSOURI RIVER HEALTH CENTER – NPI #1003887266
General Acute Care Hospital

AVERA MISSOURI RIVER HEALTH CENTER is a general acute care hospital located in GETTYSBURG, SD. NPPES has assigned the NPI number 1003887266 to AVERA MISSOURI RIVER HEALTH CENTER on January 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MISSOURI RIVER HEALTH CENTER” is a dba name, the actual legal business name for this organization is AVERA GETTYSBURG. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 4 years ago on Jul 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MISSOURI RIVER HEALTH CENTER below.

NPI Profile for
AVERA GETTYSBURG

NPI Number
1003887266
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA GETTYSBURG
Doing Business As (dba): AVERA MISSOURI RIVER HEALTH CENTER
Primary location
606 E GARFIELD AVE
GETTYSBURG, SD 57442-1325
Phone: (605) 765-2480 Fax: (605) 765-2704
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MIKEL HOLLAND
CEO/PRESIDENT
Phone: (605) 224-3144
Updated
Certification Date
Jul 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVERA MISSOURI RIVER HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSD0100420
MEDICAIDSD5500420
MEDICAIDSD0159470
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 SD 10542

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.