Active NPI
Rocky Mountain Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Bozeman, MT
National Provider Identifier
1275515157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 10413
- Legal business name
- ROCKY MOUNTAIN SURGICAL CENTER, LLC
- Practice address
- 1450 Ellis St
Suite 101
Bozeman, MT 59715-8812 - Phone
- (406) 556-9000
- Fax
- (406) 556-9119
- NPI assigned
- Nov 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jayne L Rasmussen
- Title
- Executive Director
- Phone
- (406) 522-1141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 10413 | MT | Primary |
Addresses
Primary practice location
1450 Ellis St
Suite 101
Bozeman, MT 59715-8812
Mailing address
1450 Ellis St
Suite 101
Bozeman, MT 59715-8812
Phone (406) 556-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0351339 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031112000762 | MT | Part B Supplier - Ambulatory Surgical Center | 1052225257 | Practice locations: Bozeman, MT |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Rocky Mountain Surgical Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D1009971 | Rocky Mountain Surgical Center | Certificate of waiver | Mar 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
1450 Ellis St
Ste 101
Bozeman, MT 59715
Phone (406) 414-5336
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Bozeman, MT
- NPI 1639371818
-
- Foot Surgery Podiatrist
- Bozeman, MT
- NPI 1437258209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275515157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 ELLIS ST",
"address_2": "SUITE 101",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597158812",
"telephone_number": "406-556-9000",
"fax_number": "406-556-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 ELLIS ST",
"address_2": "SUITE 101",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597158812",
"telephone_number": "406-556-9000",
"fax_number": "406-556-9119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RASMUSSEN",
"authorized_official_first_name": "JAYNE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "406-522-1141"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MT",
"license": "10413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0351339",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
- Rocky Mountain Apothecary Dba Rocky Mountain Pharmacy
- Rocky Mountain Apothecary Dba Rocky Mountain Pharmacy
- Rocky Mountain Counseling and Mental Health
- Rocky Mountain Hospice of Butte, LLC
- Rocky Mountain Neuropsychology PLLC
- Rocky Mountain Vein Clinic Bozeman, Inc
- Martin Rodgers, D.C.
- Alexa Blanchet Rodin, M.D.
- Jennifer R Rogers-Stevane, MD
- Kory Ann Rogers, LCPC, ACLA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.