Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rushmore Ambulatory Surgery Center

Organization Ambulatory Surgical Clinic/Center · NPI 1013968718

Rushmore Ambulatory Surgery Center is an Ambulatory Surgical Clinic/Center in Rapid City, South Dakota. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

620 Sheridan Lake Rd Ste 104
Rapid City, SD 57702-2406
Phone: (605) 341-1314
Fax: (605) 341-5757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1013968718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelli Jobman — Ceo · (605) 718-9224
Other names Black Hills Pediatric Dentistry Surgery Center
NPI enumeratedMay 15, 2006
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address620 Sheridan Lake Rd Ste 101, Rapid City, SD 57702-2490

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