# AVERA GETTYSBURG

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Missouri River Health Center (Swingbed)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881754497
- **Authorized official:** MR. MIKEL HOLLAND (CEO/PRESIDENT)
- **Authorized official phone:** (605) 224-3144

## Contact information

- **Practice address:** 606 E GARFIELD AVE, GETTYSBURG, SD 57442-1325
- **Practice address phone:** (605) 765-2488
- **Practice address fax:** (605) 765-2704
- **Mailing address:** 606 E GARFIELD AVE, GETTYSBURG, SD 57442-1325
- **Mailing address phone:** (605) 765-2488
- **Mailing address fax:** (605) 765-2704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 10542 | SD | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 07/15/2022
