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Chicot Memorial Medical Center

NPI 1104238179ActiveOrganization· Clinic/Center· Lake Village, AR

Clinic/Center in Lake Village, Arkansas, registered in NPPES in May 2014. The authorized official on file is Susan Vaughn, Cfo.

Overview

NPI1104238179
StatusActive
Entity typeOrganization
NPI issuedMay 27, 2014
Last updated in NPPESJul 9, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Lake Village

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