RUSHMORE AMBULATORY SURGERY CENTER (NPI# 1013968718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013968718 |
| Entity Type | Organization |
| Organization Name | RUSHMORE AMBULATORY SURGERY CENTER |
| Practice Address |
620 Sheridan Lake Rd Suite 104 Rapid City SD 57702-2406 |
| Mailing Address |
620 Sheridan Lake Rd Rapid City SD 57702-2490 |
| Practice Telephone | 6053411314 |
| Practice Fax Number | 6053415757 |
| Mailing Telephone | 6057189224 |
| Mailing Fax Number | 6057189225 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-07-11 |
| Authorized Official Name | MR. WILLIAM J. DONHISER (CEO-RASC) |
| Authorized Official Telephone | 6057189224 |
| Authorized Official Credential | DDS. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RUSHMORE AMBULATORY SURGERY CENTER, LLC | 620 Sheridan Lake Rd, Rapid City, SD 57702-2490 |
| Street Address |
620 SHERIDAN LAKE RD SUITE 104 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760465207 | Plastic Surgical Center of Rapid City, Prof. L.L.C. | Clinic/Center | 3615 5th St, Suite 100, Rapid City, SD 57701-6014 | 2005-11-29 |
| 1659420727 | The Endoscopy Center, Inc. | Clinic/Center | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2007-01-09 |
| 1952325227 | Slingsby & Wright Eye Surgery & Laser Center, LLC | Clinic/Center | 240 Minnesota St, Rapid City, SD 57701-6200 | 2006-07-27 |
| 1346220183 | Black Hills Regional Eye Surgery Center, LLC | Clinic/Center | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518129576 | Usc Ambulatory Surgical Center Prof LLC | Clinic/Center | 201 West 69th Street, Sioux Falls, SD 57108-2424 | 2008-06-30 |
| 1184660151 | Innovative Procedural Center LLC | Clinic/Center | 1512 4th St Ne, Watertown, SD 57201-6824 | 2006-06-20 |
| 1427009034 | Prairie States Surgical Center LLC | Clinic/Center | 2908 E 26th St Ste B, Sioux Falls, SD 57103-4034 | 2006-05-16 |
| 1093792244 | Cj Elmwood Partners L P | Clinic/Center | 3801 S Elmwood Ave, Sioux Falls, SD 57105-6565 | 2005-12-29 |
| 1033195912 | Surgical Associates Endoscopy Clinic LLC | Clinic/Center | 310 S Pennsylvania St, Suite 201, Aberdeen, SD 57401-4553 | 2005-12-21 |
| 1871581876 | Ophthalmology Ltd Eye Surgery Center LLC | Clinic/Center | 6601 S. Minnesota Avenue, Suite 100, Sioux Falls, SD 57108-2564 | 2005-10-12 |
| 1831504711 | Avera St Lukes | Clinic/Center | 310 S Penn St, Ste 201, Aberdeen, SD 57401 | 2014-06-30 |
| 1205171295 | Vance Thompson Vision Surgery Center Prof LLC | Clinic/Center | 3101 W 57th St, Sioux Falls, SD 57108-3162 | 2012-12-03 |
| 1285936641 | Rivers Edge Aesthetic Surgery, LLC | Clinic/Center | 4201 South Minnesota Avenue, Ste. 111, Sioux Falls, SD 57105-6742 | 2010-11-17 |
| 1083859532 | Avera Mckennan | Clinic/Center | 100 Mac Ln, Pierre, SD 57501-3391 | 2008-12-12 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on RUSHMORE AMBULATORY SURGERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.