CHICOT MEMORIAL MEDICAL CENTER WOMENS CLINIC
NPI 1104238179
Clinic/Center in Lake Village, AR

Active since May 27, 2014
2729 HWY 65 & 82 S, LAKE VILLAGE, AR 71653(870) 265-5351(870) 265-2091 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chicot Memorial Medical Center Womens Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHICOT MEMORIAL MEDICAL CENTER WOMENS CLINIC (NPI 1104238179) is a healthcare organization registered as a clinic/center in Lake Village, Arkansas and active in the NPI registry since May 2014. The organization lists Susan Vaughn, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104238179
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHICOT MEMORIAL MEDICAL CENTER
Location Address2729 HWY 65 & 82 SLake Village, AR 71653-6136
Mailing Address2729 Hwy 65 & 82 SLake Village, AR 71653-6136 · (870) 265-5351 · Fax (870) 265-2091
Fax(870) 265-2091
Organization SubpartNo
Authorized OfficialSusan VaughnCfo · (870) 265-5351
Enumeration DateMay 27, 2014
Last NPPES UpdateJuly 9, 2015
NPI 1104238179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2729 HWY 65 & 82 S, Lake Village, AR 71653

Other Names 1

Other NameChicot Memorial Medical Center Womens Clinic

Other Identifiers 5

Other04-1328Medicare Provider Number
Other04-Z328Medicare Provider Number
Medicare PIN04-1328
Medicaid181080105AR
Medicare PIN04-Z328

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
General Acute Care Hospital (Critical Access)
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Nurse Anesthetist, Certified Registered
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Home Health
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Medicare Defined Swing Bed Unit
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Clinic/Center
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Emergency Medicine
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chicot Memorial Medical Center's NPI number?

The NPI number for Chicot Memorial Medical Center is 1104238179. It was assigned to this organization in the NPPES registry on May 27, 2014. The provider is also known as Chicot Memorial Medical Center Womens Clinic.

Where is Chicot Memorial Medical Center located?

Chicot Memorial Medical Center is located at 2729 Hwy 65 & 82 S, Lake Village, AR 71653. The listed phone number is (870) 265-5351.

What is Chicot Memorial Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Chicot Memorial Medical Center was last updated on July 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.