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

Chicot Memorial Medical Center

Organization Emergency Medicine Physician · NPI 1902121494

Chicot Memorial Medical Center is an Emergency Medicine Physician 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

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence AR4386 (AR)

Record details

NPI number1902121494
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

Other providers in Lake Village