CHICOT MEMORIAL MEDICAL CENTER WOMEN'S CLINIC
NPI 1235453192
General Acute Care Hospital - Critical Access in Lake Village, AR
About Chicot Memorial Medical Center Women's Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHICOT MEMORIAL MEDICAL CENTER WOMEN'S CLINIC (NPI 1235453192) is a healthcare organization registered as a critical access in Lake Village, Arkansas and active in the NPI registry since March 2010. The organization lists Susan Vaughn, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chicot Memorial Medical Center Women's Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Chicot Memorial Medical Center Women's Clinic, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (14)
Washington, DC 20019
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for Chicot Memorial Medical Center (CMS certification number 041328), from CMS Care Compare.
Chicot Memorial Medical Center
Critical Access Hospitals · Lake Village, ARComplications & Deaths 4
Unplanned Hospital Visits 7
Timely & Effective Care 6
Home Health Quality Ratings CMS Care Compare
Quality ratings, patient care measures and outcomes for Chicot Memorial Medical Center Home Health Agenc (CMS certification number 047104), from CMS Care Compare.
Chicot Memorial Medical Center Home Health Agenc
Home health agency · Lake Village, ARPatient Care Measures
Discharge, Readmission & Medicare Spending
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 1235453192. It was assigned to this organization in the NPPES registry on March 22, 2010. The provider is also known as Chicot Memorial Medical Center Women's 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 General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is Chicot Memorial Medical Center enrolled in Medicare?
Yes. Chicot Memorial Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chicot Memorial Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Chicot Memorial Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (5), Nurse Practitioner (4) and Certified Registered Nurse Anesthetist (CRNA) (3). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Is Chicot Memorial Medical Center a Medicare-certified hospital?
Yes. Chicot Memorial Medical Center is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.
What insurance does Chicot Memorial Medical Center accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Chicot Memorial Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Chicot Memorial Medical Center Women's Clinic · NPI 1235453192
Critical Access organization in Lake Village, Arkansas. Organization record, active in the CMS NPPES registry since March 22, 2010.
## Identity
- **NPI:** 1235453192 (Entity type: Organization)
- **Enumerated:** March 22, 2010
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Legal business name:** Chicot Memorial Medical Center
- **Organization subpart:** No
- **Authorized official:** Susan Vaughn, CFO
## Practice location
- **Address:** 2729 HWY 65 & 82 S, Lake Village, AR 71653-6136
- **Phone:** (870) 265-5351 · **Fax:** (870) 265-2091
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (5), Nurse Practitioner (4), Certified Registered Nurse Anesthetist (CRNA) (3); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2015
- **Other identifiers:** Medicare PIN 04-1328; Medicaid 181080105 (AR); Medicaid 195528715 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1235453192) · Data from the CMS NPPES public registry.