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AVERA GREGORY
NPI 1770939530
General Acute Care Hospital - Critical Access in Gregory, SD

Active since May 11, 2016CLIA 43D0407773 · Accreditation
400 PARK AVE, GREGORY, SD 57533(605) 835-5190(605) 835-5479 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avera Gregory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA GREGORY (NPI 1770939530) is a healthcare organization registered as a critical access in Gregory, South Dakota and active in the NPI registry since May 2016. The organization holds an CLIA Accreditation certificate valid through June 13, 2027 and lists Mckenzie Marie Randall, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1770939530
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameAVERA GREGORY
Location Address400 PARK AVEGregory, SD 57533-1302
Mailing Address400 Park AveGregory, SD 57533-1302 · (605) 835-5190 · Fax (605) 835-5479
Phone(605) 835-5190
Fax(605) 835-5479
Organization SubpartNo
Authorized OfficialMckenzie Marie RandallPhysical Therapist · (605) 835-5190
Enumeration DateMay 11, 2016
✔ NPI 1770939530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in SD · 1767
400 PARK AVE, Gregory, SD 57533
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 43D0407773

Avera Gregory Healthcare Center · Gregory, SD
Active · expires Jun 13, 2027
CLIA Number43D0407773
Laboratory TypeHospital
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorErin Quist
Laboratory Phone(605) 835-5170
Laboratory LocationAvera Gregory Healthcare Center110 South Logan Ave, Gregory, SD 57533
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES MICHAEL ARLT CRNA
Nurse Anesthetist, Certified Registered
400 PARK AVE
GREGORY, SD 57533
Gregory County (605) 835-8394
AVERA MCKENNAN
Clinic/Center (Physical Therapy)
400 PARK AVE
GREGORY, SD 57533
Gregory County (605) 835-5190
AVERA AT HOME
In Home Supportive Care
400 PARK AVE
GREGORY, SD 57533
Gregory County (605) 835-5263
AVERA MCKENNAN
Medicare Defined Swing Bed Unit
400 PARK AVE
GREGORY, SD 57533
Gregory County (605) 835-9394
TANAE KARTAK OTR/L
Occupational Therapist
400 PARK AVE
GREGORY, SD 57533
Gregory County (605) 835-5190
DR. JUSTIN HOOD PT, DPT, ATC
Physical Therapist
400 PARK AVE
GREGORY, SD 57533
Gregory County (605) 835-5190
AVERA MCKENNAN
Home Health
400 PARK AVE
GREGORY, SD 57533
Gregory County (605) 835-8394
LACY KRYSL
Occupational Therapist
400 PARK AVE
GREGORY, SD 57533
Gregory County (605) 835-5190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Gregory's NPI number?

The NPI number for Avera Gregory is 1770939530. It was assigned to this organization in the NPPES registry on May 11, 2016.

Where is Avera Gregory located?

Avera Gregory is located at 400 Park Ave, Gregory, SD 57533. The listed phone number is (605) 835-5190.

What is Avera Gregory's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Does Avera Gregory hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 43D0407773) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avera Gregory was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.