Black Hills Pediatric Dentistry Surgery Center
LBN: Rushmore Ambulatory Surgery Center
Black Hills Pediatric Dentistry Surgery Center is an health care organization with primary practice located at 620 Sheridan Lake Rd Suite 104, Rapid City SD 57702-2406. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Rushmore Ambulatory Surgery Center can be contacted via phone (605) 341-1314, or through Jobman, Kelli J via phone (605) 718-9224.
Contact Information
Primary practice address
620 Sheridan Lake Rd Suite 104
Rapid City SD 57702-2406
Phone: (605) 341-1314
Fax: (605) 341-5757
Website:
Authorized official contact:
Name: Jobman, Kelli J Doctor of Dental Surgery (DDS)
Phone: (605) 718-9224
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X |
Profile Details
| NPI number | 1013968718 |
|---|---|
| LBN Legal business name | Rushmore Ambulatory Surgery Center |
| DBA Doing business as | Black Hills Pediatric Dentistry Surgery Center |
| Authorized official | Jobman, Kelli J Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Aug 9th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013968718 | NPPES |
| South Dakota | MEDICAID | 5490450 | |
| South Dakota | Other | 81022 |
Popular Providers
-
East Houston Surgery Center, Llc
12950 East Frwy. Suite 100, Houston TX 77015-5710 -
Oceanview Pain Treatment Medical Center, Inc.
2650 Elm Ave # 216, Long Beach CA 90806-1651 -
Museum Center Surgery Group Inc.
5757 Wilshire Blvd Promenade 6, Los Angeles CA 90036-3681 -
Northridge Surgery Center, Lp
601 Saundersville Rd , Madison TN 37075 -
Trinity Surgery Center Llc
2020 Trinity Oaks Blvd , Trinity FL 34655-4402 -
Slingsby & Wright Eye Surgery & Laser Center, Llc
240 Minnesota St , Rapid City SD 57701-6200 -
Plastic Surgical Center Of Rapid City, Prof. L.L.C.
3615 5Th St Suite 100, Rapid City SD 57701-6014 -
Vincennes Surgery Center Lp
300 N 1St St , Vincennes IN 47591-1252