CHICOT MEMORIAL MEDICAL CENTER SURGICAL CLINIC
NPI 1841602810
Clinic/Center in Lake Village, AR

Q: What is Chicot Memorial Medical Center's NPI number?

The NPI number for Chicot Memorial Medical Center is 1841602810. It was assigned to this organization in the NPPES registry on May 27, 2014. The provider is also known as Chicot Memorial Medical Center Surgical Clinic.

Q: What is Chicot Memorial Medical Center's specialty?

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

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: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Chicot Memorial Medical Center Surgical Clinic NPPES

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

CHICOT MEMORIAL MEDICAL CENTER SURGICAL CLINIC (NPI 1841602810) 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 Brittany Lee Horn, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1841602810

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

Phone(870) 265-5351

Fax(870) 265-2091

Organization SubpartNo

Authorized OfficialBrittany Lee HornProvider Enrollment · (870) 265-9390

Enumeration DateMay 27, 2014

Last NPPES UpdateSeptember 18, 2023

NPPES CertifiedSeptember 18, 2023

✔ NPI 1841602810 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

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Other Names 1

Other NameChicot Memorial Medical Center Surgical Clinic

Other Identifiers 3

Medicaid181080105AR

Other04-1328Medicare Provider Number

Other04-Z328Medicare Provider Number

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)