CHICOT MEMORIAL MEDICAL CENTER NPI 1235453192

NPI Information

CHICOT MEMORIAL MEDICAL CENTER is a critical access general acute care hospital in Lake Village, AR. CHICOT MEMORIAL MEDICAL CENTER NPI is 1235453192. The provider is registered as an organization entity type.
The provider Other Name Is Chicot Memorial Medical Center Women's Clinic.

The provider's business location address is:

2729 HWY 65 & 82 S
LAKE VILLAGE, AR
ZIP 71653-136
Phone: (870) 265-5351
Fax: (870) 265-2091

The provider's authorized official is Susan Vaughn .
The authorized official title is Cfo and has the following contact phone number (870) 265-5351.

The enumeration date for this NPI number is 3/22/2010 and was last updated on 7/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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