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CHICOT MEMORIAL MEDICAL CENTER
NPI 1457676942
Nurse Anesthetist, Certified Registered 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: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 30, 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 a nurse anesthetist, certified registered 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

NPI1457676942
Entity TypeOrganization
Primary Taxonomy367500000X
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
Phone(870) 265-5351
Fax(870) 265-2091
Organization SubpartYes
Authorized OfficialSusan VaughnCfo · (870) 265-5351
Enumeration DateMarch 29, 2010
Last NPPES UpdateJune 25, 2015
✔ NPI 1457676942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AR · C00578
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2729 HWY 65 & 82 S, Lake Village, AR 71653
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Other Identifiers 2

Medicare PIN5G620
Medicaid182367002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

CHICOT MEMORIAL MEDICAL CENTER
Clinic/Center (Rural Health)
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351
CHICOT MEMORIAL MEDICAL CENTER
Clinic/Center
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351
CHICOT MEMORIAL MEDICAL CENTER
General Acute Care Hospital (Critical Access)
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351
CHICOT MEMORIAL MEDICAL CENTER
Home Health
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351
CHICOT MEMORIAL MEDICAL CENTER
Medicare Defined Swing Bed Unit
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351
CHICOT MEMORIAL MEDICAL CENTER
Clinic/Center
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351
CHICOT MEMORIAL MEDICAL CENTER
Emergency Medicine
2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351

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 Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

What insurance does Chicot Memorial Medical Center accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 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 June 25, 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.