# PRESBYTERIAN RUST MEDICAL CENTER ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEW MEXICO SURGERY CENTER-MULTI SPECIALTY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487246229
- **Authorized official:** ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 2400 UNSER BLVD SE, STE 09100B, RIO RANCHO, NM 87124
- **Practice address phone:** (720) 245-0321
- **Practice address fax:** (505) 355-5912
- **Mailing address:** 14201 DALLAS PKWY, LEGAL- 13TH FLOOR, DALLAS, TX 75254
- **Mailing address phone:** (469) 872-4706
- **Mailing address fax:** (972) 767-3547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 10/24/2024