NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Chicot Memorial Medical Center

Emergency Medicine Physician in Lake Village, AR · enumerated 2010 · authorized official Susan Vaughn, Cfo.

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

National Provider Identifier

1902121494

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Chicot Memorial Medical Center
Parent organization Chicot Memorial Medical Center
Practice address 2729 Hwy 65 & 82 S, Lake Village, AR, 71653
Phone (870) 265-5351
Fax (870) 265-2091
Enumeration date Mar 29, 2010
Last updated in NPPES Jun 25, 2015

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Primary
207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License AR4386 (AR) Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
182738002 Medicaid AR -

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

Where is Chicot Memorial Medical Center located?
The practice location on file with NPPES is in Lake Village, AR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-06-25. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-25.