| Organization Name: | CHICOT MEMORIAL MEDICAL CENTER |
| NPI Number: | 1235453192 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN VAUGHN (CFO) |
| Mailing Address: | 2729 Hwy 65 & 82 S Lake Village |
| State: | AR US |
| Postal Code: | 716536136 |
| Phone Number: | 8702655351 |
| Fax Number: | 8702652091 |
| NPI Enumeration Date: | 03/22/2010 |
| NPI Last Update Date: | 07/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | AR4386 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |