OrganizationActive
Chicot Memorial Medical Center
NPI 1104238179 · Clinic/Center · Lake Village, AR
Chicot Memorial Medical Center is a Clinic/Center organization in Lake Village, AR (NPI 1104238179).
Provider details
- NPI number
- 1104238179
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Vaughn, Cfo(870) 265-5351
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Other names (DBA / former)
- Other name
- Chicot Memorial Medical Center Womens Clinic
Registry dates
- Enumerated
- 2014-05-27
- Last updated
- 2015-07-09
Frequently asked questions
- What is Chicot Memorial Medical Center's NPI number?
- Chicot Memorial Medical Center's National Provider Identifier (NPI) is 1104238179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chicot Memorial Medical Center?
- Chicot Memorial Medical Center is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Chicot Memorial Medical Center located?
- Chicot Memorial Medical Center's practice location on file with NPPES is 2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136.
- What is Chicot Memorial Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Chicot Memorial Medical Center is (870) 265-5351.
- Who is the authorized official for Chicot Memorial Medical Center?
- The authorized official listed on Chicot Memorial Medical Center's NPPES record is Susan Vaughn, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chicot Memorial Medical Center's NPI active?
- Yes — Chicot Memorial Medical Center's NPI (1104238179) is active in the NPPES registry as of the last update on 2015-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.