Avera Gregory
Avera Gregory is a healthcare organization registered as Critical Access Hospital in Gregory, SD, holding Type 2 (organization) NPI 1770939530 since 2016. The authorized official on file is Mckenzie Randall, Physical Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770939530 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Gregory |
| Practice address | 400 PARK AVE, Gregory, SD, 57533 |
| Phone | 6058355190 |
| Fax | 6058355479 |
| Enumeration date | 2016-05-11 |
| Last updated in NPPES | 2016-05-11 |
Authorized official
| Name | Mckenzie Randall |
|---|---|
| Title | Physical Therapist |
| Phone | 6058355190 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 282NC0060X | Critical Access Hospital | Primary | 1767 | SD |
Copy-ready billing details
Provider: Avera Gregory NPI: 1770939530 Taxonomy: 282NC0060X (Critical Access Hospital) Address: 400 PARK AVE, Gregory, SD, 57533
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1811091473 | Avera Mckennan | Organization | Home Health Agency | Gregory, SD |
| 1083896294 | James Arlt | Individual | Certified Registered Nurse Anesthetist | Gregory, SD |
| 1417215740 | Avera Mckennan | Organization | Medicare Defined Swing Bed Hospital Unit | Gregory, SD |
| 1346660693 | Avera at Home | Organization | In Home Supportive Care Agency | Gregory, SD |
| 1720435068 | Justin Hood | Individual | Physical Therapist | Gregory, SD |
| 1326495409 | Avera Mckennan | Organization | Physical Therapy Clinic/Center | Gregory, SD |
| 1861841710 | Lacy Krysl | Individual | Occupational Therapist | Gregory, SD |
| 1487176202 | Tanae Kartak | Individual | Occupational Therapist | Gregory, SD |
Verify this record
Cross-check NPI 1770939530 against the authoritative CMS record: view Avera Gregory on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Avera Gregory located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2016-05-11.