Organization
ROCKY MOUNTAIN SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE L RASMUSSEN (EXECUTIVE DIRECTOR)
(406) 522-1141
Entity
Organization
Contact information
Practice address
1450 ELLIS ST, SUITE 101, BOZEMAN, MT 59715-8812
(406) 556-9000
(406) 556-9119
Mailing address
1450 ELLIS ST, SUITE 101, BOZEMAN, MT 59715-8812
(406) 556-9000
(406) 556-9119
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10413
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351339
—
MT
Enumeration date
11/16/2005
Last updated
08/22/2020
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