Presbyterian Rust Medical Center ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PRESBYTERIAN RUST MEDICAL CENTER ASC LLC

Doing business as

New Mexico Surgery Center-Multi Specialty

Practice address

2400 Unser Blvd SE
Ste 09100B
Rio Rancho, NM 87124

Phone

(720) 245-0321

Fax

(505) 355-5912

NPI assigned

Feb 3, 2021

Last updated

Oct 24, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric Boon

Title

Officer/Authorized Official

Phone

(480) 567-0269

Specialties & licenses 1

Addresses

Other names 1

• NEW MEXICO SURGERY CENTER-MULTI SPECIALTY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Listed as

Presbyterian Rust Medical Center ASC LLC Dba New Mexico Surgery Center Multi SpecialtyCCN 32C0001129

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Presbyterian Healthcare Services

  dba Socorro General Hospital

  • Critical Access Hospital
  • Socorro, NM
  • NPI 1790761138

  Member Of

  NPD member
• Baylor University Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1518967231

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1487246229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 DALLAS PKWY",
            "address_2": "LEGAL- 13TH FLOOR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75254",
            "telephone_number": "469-872-4706",
            "fax_number": "972-767-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 UNSER BLVD SE",
            "address_2": "STE 09100B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "720-245-0321",
            "fax_number": "505-355-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN RUST MEDICAL CENTER ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-567-0269"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NEW MEXICO SURGERY CENTER-MULTI SPECIALTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Presbyterian Medical Services (Presbyterian Medical Services Family Health Center)
• Presbyterian Medical Services
• Presbyterian Medical Services (RR-Carelink)
• Presbyterian Medical Services
• Presbyterian Medical Services (Rio Rancho Family Health Center)
• Natalie Price Cole, IBCLC
• Arianna Price
• Prickly Pear Therapy, LLC
• Elizabeth J Pritchard, MS, CCC-SLP
• Milinda Bella Proveaux

• Ambulatory Surgical Clinic/Center in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Ambulatory Surgical Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.

Verify at the official NPI Registry.