Organization Name: | AVERA GETTYSBURG |
NPI Number: | 1003887266 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK C SCHMIDT (EXECUTIVE DIRECTOR) |
Mailing Address: | 606 E Garfield Ave Gettysburg |
State: | SD US |
Postal Code: | 574421325 |
Phone Number: | 6057652480 |
Fax Number: | 6057652704 |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 10542 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |