Healthcare Provider Details

I. General information

NPI: 1346998655
Provider Name (Legal Business Name): SAWTOOTH OAK AMBULATORY SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 SAWTOOTH OAK ST
HOT SPRINGS AR
71901-7160
US

IV. Provider business mailing address

148 SAWTOOTH OAK ST
HOT SPRINGS AR
71901-7160
US

V. Phone/Fax

Practice location:
  • Phone: 844-215-0731
  • Fax: 501-404-7789
Mailing address:
  • Phone: 844-215-4731
  • Fax: 888-630-8885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MITCHELL BOLDING
Title or Position: DIRECTOR
Credential:
Phone: 501-624-7700