Organization Name: | CHICOT MEMORIAL HOSPITAL |
NPI Number: | 1063571107 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE BENNETT (CEO) |
Mailing Address: | 2729 Hwy 65 And 82 South Lake Village |
State: | AR US |
Postal Code: | 71653 |
Phone Number: | 8702655351 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | AR4315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |