Chicot Memorial Medical Center

LBN: Chicot Memorial Medical Center
Chicot Memorial Medical Center is an health care organization with primary practice located at 2729 Hwy 65 & 82 S , Lake Village AR 71653-6136. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Chicot Memorial Medical Center can be contacted via phone (870) 265-5351, or through Vaughn, Susan via phone (870) 265-5351.

Contact Information

Primary practice address
2729 Hwy 65 & 82 S Lake Village AR 71653-6136
Phone: (870) 265-5351
Fax: (870) 265-2091
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Susan
Phone: (870) 265-5351

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1003213281
LBN Legal business name Chicot Memorial Medical Center
DBA Doing business as
Authorized official Vaughn, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2014
Last updated Apr 13th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003213281 NPPES
Other 04-Z328 MEDICARE PROVIDER NUMBER
MEDICAID 181080105 MEDICARE PROVIDER NUMBER
Other 04-1328 MEDICARE PROVIDER NUMBER

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