Rushmore Ambulatory Surgery Center in Rapid City - Ambulatory Surgical

Rushmore Ambulatory Surgery Center - NPI 1013968718

Rushmore Ambulatory Surgery Center is a Ambulatory Surgical in Rapid City, South Dakota. Rushmore Ambulatory Surgery Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Rushmore Ambulatory Surgery Center is 1013968718. The last update date is 2022-08-09.

Rushmore Ambulatory Surgery Center's current location address is 620 Sheridan Lake Rd Ste 101, Rapid City, South Dakota. You can contact this provider via phone number 6057189224 and fax number 6057189225. The mailing address for Rushmore Ambulatory Surgery Center is 620 Sheridan Lake Rd Ste 101, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Rushmore Ambulatory Surgery Center
Address 620 Sheridan Lake Rd Ste 101, Rapid City, South Dakota
Phone Number 6057189224
Fax Number 6057189225
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Jobman J Kelli
Credentials DDS
Telephone Number 6057189224

NPI Number Detail

NPI Number 1013968718
Provider Enumeration Date 2006-05-15
Last Updated Date 2022-08-09

Provider Mailing Address Detail

Address 620 Sheridan Lake Rd Ste 101
City Rapid City
State South Dakota (SD)
Post Code 577022490
Phone Number 6057189224
Fax Number 6057189225

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5490450 SD --
81022 SD WELLMARK BLUE CROSS BLUE SHIEL

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FAQs about Rushmore Ambulatory Surgery Center

What is the unique identifier code issued to Rushmore Ambulatory Surgery Center by the Centers for Medicare & Medicaid Services?

The Rushmore Ambulatory Surgery Center has been assigned the NPI (National Provider Identifier) 1013968718. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Rushmore Ambulatory Surgery Center?

The Rushmore Ambulatory Surgery Center is physically situated at 620 Sheridan Lake Rd Ste 101, in the city of Rapid City, state of SD, with the postal code 577022490.

What is Rushmore Ambulatory Surgery Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Rushmore Ambulatory Surgery Center is Ambulatory Surgical, and the taxonomy code that categorizes this field of expertise is 261Qa1903X.

On what date did the Rushmore Ambulatory Surgery Center receive its 1013968718 assignment from the Centers for Medicare & Medicaid Services?

The Rushmore Ambulatory Surgery Center was assigned its 1013968718 by the Centers for Medicare & Medicaid Services on 2006-05-15.

When was the information regarding Rushmore Ambulatory Surgery Center most recently updated?

The details pertaining to the Rushmore Ambulatory Surgery Center, including its address, specialty, and other relevant information, were last refreshed on 2022-08-09.

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