| Organization Name: | RUSHMORE AMBULATORY SURGERY CENTER |
| NPI Number: | 1013968718 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM J. DONHISER (CEO-RASC) |
| Mailing Address: | 620 Sheridan Lake Rd Suite 104 Rapid City |
| State: | SD US |
| Postal Code: | 577022406 |
| Phone Number: | 6053411314 |
| Fax Number: | 6053415757 |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 07/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |