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Avera Gettysburg — NPI 1790756963, Gettysburg, SD | NPI Central

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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 Facility/Intermediate Care FacilityPrimary313M00000XLicense 10624 (SD)
Nursing & Custodial Care Facilities

Practice location

700 E Garfield Ave

Gettysburg, SD 57442-1327

Phone: (605) 765-2488

Approximate (ZIP-level) locationGet directions

More SD providers

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.