Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chicot Memorial Medical Center

Organization Certified Registered Nurse Anesthetist · NPI 1457676942

Chicot Memorial Medical Center is a Certified Registered Nurse Anesthetist in Lake Village, Arkansas. Licensed in Arkansas. Registered with an NPI since 2010.

Licensed in
AR
In the registry since
2010
Specialties on file
2

Practice location Address checks out

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

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence C00578 (AR)

Record details

NPI number1457676942
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChicot Memorial Medical Center
Authorized official Susan Vaughn — Cfo · (870) 265-5351
NPI enumeratedMarch 29, 2010
Last updated in NPPESJune 25, 2015
Mailing address2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136

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