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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHICOT MEMORIAL MEDICAL CENTER
NPI 1457676942
Emergency Medicine in Lake Village, AR

Active since March 29, 2010
2729 HWY 65 & 82 S, LAKE VILLAGE, AR 71653(870) 265-5351(870) 265-2091 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Chicot Memorial Medical Center NPPES

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

CHICOT MEMORIAL MEDICAL CENTER (NPI 1457676942) is a healthcare organization registered as an emergency medicine in Lake Village, Arkansas and active in the NPI registry since March 2010. The organization lists Vicki J Allen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457676942
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCHICOT MEMORIAL MEDICAL CENTER
Location Address2729 HWY 65 & 82 SLake Village, AR 71653-6136
Mailing Address2729 S Highway 65 82Lake Village, AR 71653-6136 · (870) 265-5351 · Fax (870) 265-2091
Phone(870) 265-5351
Fax(870) 265-2091
Organization SubpartYes
Authorized OfficialVicki J AllenCeo · (870) 265-9229
Enumeration DateMarch 29, 2010
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1457676942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedDentistTaxonomy 122300000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
2729 HWY 65 & 82 S, Lake Village, AR 71653
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Other Identifiers 1

Medicaid182367002AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Chicot Memorial Medical Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Edward Weeks, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548495765
778 SCOGIN DR
Monticello, AR 71655
(870) 367-2411
✔ Accepts Medicare37 mi
Jan Gorman
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699824201
404 S BRADLEY ST
Warren, AR 71671
(870) 226-4100
✔ Accepts Medicare53 mi
Ben Beck, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326036609
420 BAYSHORE DR
Hot Springs, AR 71901
(501) 282-3824
✔ Accepts Medicare128 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1457676942. It was assigned to this organization in the NPPES registry on March 29, 2010.

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 Emergency Medicine with taxonomy code 207P00000X.

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), 3 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1 other insurer 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 October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.