Avera Gettysburg
Avera Gettysburg is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Gettysburg, SD, holding Type 2 (organization) NPI 1790756963 since 2006. The authorized official on file is Mikel Holland, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790756963 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Gettysburg |
| Other name | <Unavail> |
| Practice address | 700 E GARFIELD AVE, Gettysburg, SD, 57442 |
| Phone | 6057652488 |
| Enumeration date | 2006-01-27 |
| Last updated in NPPES | 2022-07-15 |
Authorized official
| Name | Mikel Holland |
|---|---|
| Title | Ceo/President |
| Phone | 6052243144 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | Primary | 10624 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160910 | Medicaid | SD | — |
Copy-ready billing details
Provider: Avera Gettysburg NPI: 1790756963 Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility) Address: 700 E GARFIELD AVE, Gettysburg, SD, 57442
Verify this record
Cross-check NPI 1790756963 against the authoritative CMS record: view Avera Gettysburg 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
Who is the authorized official for Avera Gettysburg?
What is the NPI number for Avera Gettysburg?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-07-15.