CHICOT MEMORIAL MEDICAL CENTER
NPI 1902121494
Emergency Medicine in Lake Village, AR

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

The NPI number for Chicot Memorial Medical Center is 1902121494. It was assigned to this organization in the NPPES registry on March 29, 2010.

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

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

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 09, 2026.

On this page

About Chicot Memorial Medical Center NPPES

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

CHICOT MEMORIAL MEDICAL CENTER (NPI 1902121494) 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 Susan Vaughn, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902121494

Entity TypeOrganization

Primary Taxonomy207P00000X

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 1902121494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in AR · AR4386

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.

2729 HWY 65 & 82 S, Lake Village, AR 71653

Open in Google Maps ↗

Other Identifiers 2

Medicaid182738002AR

Medicare PIN5G619

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

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)