MEDICARE: SARC ASC CENTRAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1538010988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARC ASC CENTRAL LLC

Provider Business Mailing Address
First Line	:	3018 E WOODSON LATERAL RD
Second Line	:
City	:	HENSLEY
State	:	AR
Zip	:	72065-9169
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3018 E WOODSON LATERAL RD
Second Line	:
City	:	HENSLEY
State	:	AR
Zip	:	72065-9169
Country	:	US
Telephone Number	:	501-280-3009
Fax Number	:	678-288-5293

Authorized Official
Title or Position	:	MD
Name	:	SADEEM MAHMOOD
Credential	:
Telephone Number	:	870-729-1020

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	03/12/2026

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Directions to “SARC ASC CENTRAL LLC ” Practice Location

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