OrganizationActive
Chicot Memorial Medical Center
NPI 1003213281 · Rural Health Clinic/Center · Lake Village, AR
Provider details
- NPI number
- 1003213281
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Vaughn, Cfo(870) 265-5351
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2729 Hwy 65 & 82 S
Lake Village, AR 71653-6136
Phone: (870) 265-5351
Fax: (870) 265-2091
Approximate (ZIP-level) locationGet directions
Mailing address
2729 Hwy 65 & 82 S
Lake Village, AR 71653-6136
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2018-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.