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04D0465387 CLIA NUMBER - CHICOT MEMORIAL MEDICAL CENTER

Laboratory Demographics

CLIA Number: 04D0465387

Facility Name: CHICOT MEMORIAL MEDICAL CENTER

Facility Address:
2729 S HWY 65 & 82
LAKE VILLAGE, AR
ZIP 71653
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Facility Phone Number: 870 265-9284

Facility Type: Hospital

Certificate Type: Certificate of Compliance
NPI Number: 1902121494

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 04D0465387
LAB Type Hospital
Facility Name CHICOT MEMORIAL MEDICAL CENTER
Street 2729 S HWY 65 & 82
City LAKE VILLAGE
State AR
ZIP 71653
Phone 870 265-9284
CertificateType 2
CertificateEffectiveDate 4/8/2023
CertificateExpirationDate 4/7/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024