CHICOT MEMORIAL MEDICAL CENTER NPI 1821313313

Medicare Defined Swing Bed Unit in Lake Village, AR

NPI 1821313313 Organization Medicare Defined Swing Bed Unit Hospital Overall Rating

About CHICOT MEMORIAL MEDICAL CENTER

Chicot Memorial Medical Center is a hospital serving the Lake Village, Arkansas region. The facility is a medicare defined swing bed unit. The NPI number of this hospital is 1821313313 and was assigned on March 2010. The hospital's primary taxonomy code is 275N00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Susan Vaughn (Cfo)

According to the Hospital Compare program data, Chicot Memorial Medical Center has an average overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 3 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.

NPI

1821313313

Provider NameCHICOT MEMORIAL MEDICAL CENTER
Provider Location Address2729 HWY 65 & 82 S LAKE VILLAGE, AR 71653
Provider Mailing Address2729 HWY 65 & 82 S LAKE VILLAGE, AR 71653
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date03-29-2010
Last Update Date06-30-2015


Primary Taxonomy

Taxonomy Code275N00000X
ClassificationMedicare Defined Swing Bed Unit
TypeHospital Units
Taxonomy DescriptionA unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Business Address

CHICOT MEMORIAL MEDICAL CENTER
2729 HWY 65 & 82 S
LAKE VILLAGE, AR
ZIP 71653
Phone: (870) 265-5351
Fax: (870) 265-2091

Get Directions


Mailing Address

CHICOT MEMORIAL MEDICAL CENTER
2729 HWY 65 & 82 S
LAKE VILLAGE, AR
ZIP 71653
Phone: (870) 265-5351
Fax: (870) 265-2091



Authorized Official

Authorized Official Name SUSAN VAUGHN
Authorized Official TitleCFO
Authorized Official Phone(870) 265-5351

Hospital Compare Information

Overall Quality Rating Overall Quality Rating
The overall rating is calculated by taking the weighted average of these group scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
- 3 out of 5 stars - Average
Hospital TypeCritical Access Hospitals - Voluntary non-profit - Private
Emergency Services Emergency Services
Shows if the hospital provides emergency services like acute medical care or trauma care.
Yes
Mortality7 - Results are based on a shorter time period than required.
Safety of Care0 - Results are based on a shorter time period than required.
Readmission0
Patient Experience8 - Not Available
Effectiveness of CareNot Available - Not Available
Timeliness of CareNot Available - Results are not available for this reporting period.
Efficient use of Medical Imaging11 - Results are not available for this reporting period.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1275N00000XHospital UnitsMedicare Defined Swing Bed UnitAR4386ARNo

Taxonomy Description: a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
181080105MEDICAID (05)AR
04-Z328MEDICARE PIN (08)

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902121494CHICOT MEMORIAL MEDICAL CENTER
Organization
Emergency Medicine2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
(870) 265-5351
1457676942CHICOT MEMORIAL MEDICAL CENTER
Organization
Nurse Anesthetist, Certified Registered2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
(870) 265-5351
1235453192CHICOT MEMORIAL MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
(870) 265-5351
1841602810CHICOT MEMORIAL MEDICAL CENTER
Organization
Clinic/Center2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
(870) 265-5351
1104238179CHICOT MEMORIAL MEDICAL CENTER
Organization
Clinic/Center2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
(870) 265-5351
1568787059CHICOT MEMORIAL MEDICAL CENTER
Organization
Home Health2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
(870) 265-5351
1003213281CHICOT MEMORIAL MEDICAL CENTER
Organization
Clinic/Center (Rural Health)2729 HWY 65 & 82 S
LAKE VILLAGE, AR 71653
(870) 265-5351

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.