NPI 1104238179

Chicot Memorial Medical Center

Organisation Clinic/Center Lake Village, AR

Practice location

Address: 2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136
Phone: (870) 265-5351
Fax: (870) 265-2091

Authorised official

Name: Susan Vaughn
Title: Cfo
Phone: (870) 265-5351

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Arkansas →

Registry record

NPI: 1104238179
Entity type: Organization
NPI issued: 27 May 2014
Record last updated: 9 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.