OrganizationActive
Avera Gettysburg
NPI 1790756963 · Nursing Facility/Intermediate Care Facility · Gettysburg, SD
Provider details
- NPI number
- 1790756963
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mikel Holland, Ceo/President(605) 224-3144
- License
- 10624 (SD)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
700 E Garfield Ave
Gettysburg, SD 57442-1327
Phone: (605) 765-2488
Approximate (ZIP-level) locationGet directions
Mailing address
700 E Garfield Ave
Gettysburg, SD 57442-1327
Other names (DBA / former)
- Doing business as
- Oahe Manor
- Doing business as
- Oahe Manor
Registry dates
- Enumerated
- 2006-01-27
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.