Chicot Memorial Medical Center Women'S Clinic

LBN: Chicot Memorial Medical Center
Chicot Memorial Medical Center Women'S Clinic is an health care organization with primary practice located at 2729 Hwy 65 & 82 S , Lake Village AR 71653-6136. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Critical Access, Transportation Services / Ambulance. Hospitals / Critical Access is 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
Hospitals / Critical Access 282NC0060X AR4386 Arkansas
Hospitals / Critical Access 282NC0060X
Transportation Services / Ambulance 341600000X

Profile Details

NPI number 1235453192
LBN Legal business name Chicot Memorial Medical Center
DBA Doing business as Chicot Memorial Medical Center Women'S Clinic
Authorized official Vaughn, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2010
Last updated Jul 9th, 2015 - about 10 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 1235453192 NPPES
Arkansas MEDICAID 195528715
Arkansas MEDICAID 181080105

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