NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Chicot Memorial Medical Center

Clinic/Center in Lake Village, AR · enumerated 2014 · authorized official Susan Vaughn, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104238179

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Chicot Memorial Medical Center
Other name <Unavail>
Practice address 2729 Hwy 65 & 82 S, Lake Village, AR, 71653
Phone (870) 265-5351
Fax (870) 265-2091
Enumeration date May 27, 2014
Last updated in NPPES Jul 9, 2015

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
181080105 Medicaid AR -
04-Z328 Other - MEDICARE PROVIDER NUMBER
04-1328 Other - MEDICARE PROVIDER NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-07-09. Verify at npiregistry.cms.hhs.gov.
Where is Chicot Memorial Medical Center located?
The practice location on file with NPPES is in Lake Village, AR.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-09.